[1]丁文金,马 聪.血液透析中经腰腔静脉置管与经股静脉置管比较 [J].介入放射学杂志,2024,33(06):659-663.
 DING Wenjin,MA Cong..Translumbar vena cava catheterization versus transfemoral vein catheterization in hemodialysis[J].journal interventional radiology,2024,33(06):659-663.
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血液透析中经腰腔静脉置管与经股静脉置管比较
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年06
页码:
659-663
栏目:
临床研究
出版日期:
2024-06-20

文章信息/Info

Title:
Translumbar vena cava catheterization versus transfemoral vein catheterization in hemodialysis
作者:
 丁文金 马 聪
Author(s):
 DING Wenjin MA Cong.
Department of Vascular Intervention, Xiangxi Tujia and Miao Autonomous Prefecture People’s Hospital, Hunan Province 416000, China
关键词:
【关键词】 血液透析 中心静脉导管 经腰腔静脉置管 经股静脉置管 术后并发症
文献标志码:
A
摘要:

【摘要】 目的 比较经腰腔静脉置管(TLC)与经股静脉置管(FVC)方式植入长期透析管方案的差异。方法 回顾性分析2015年6月至2020年6月在湘西土家族苗族自治州人民医院接受FVC(159例)、TLC(29例)建立血管通路患者临床资料。采用统计学方法比较两组手术成功率、术中及术后相关并发症发生率。结果 TLC组、FVC组手术成功率比较差异无统计学意义(97.06%比97.85%,P=0.770)。TLC组、FVC组术后1、2、3年累计一期透析导管通畅率分别为89.75%、81.40%、30.65%,86.25%、60.9%、28.21%,差异无统计学意义(均P>0.05)。两组患者间围手术期、早期及晚期置管相关并发症比较差异无统计学意义(均P>0.05),机械性并发症比较差异无统计学意义(P>0.05)。TLC组导管相关感染发生率低于FVC组(12.13%比32.42%,P<0.05),血栓发生率低于FVC组(3.03%比17.03%, P<0.05)。结论 TLC手术成功率高,导管相关感染发生率低于FVC。具备手术条件的临床中心面对常规静脉通路耗竭患者选择透析通路时,TLC可能是更优选择。

 

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备注/Memo

备注/Memo:

(收稿日期:2023- 06- 28)

(本文编辑:谷 珂)

更新日期/Last Update: 2024-06-20