[1]顾钱峰,傅海飞,周 兵,等.经肱/桡动脉留置针穿刺和经股动脉插管自体动静脉内瘘造影的对比研究[J].介入放射学杂志,2013,(02):117-120.
 GU Qian? feng,FU Hai? fei,ZHOU Bing,et al.Trans?蛳 brachial/radial indwelling needle puncture or trans?蛳 femoral catheterization for autologous arteriovenous fistula angiography: a comparative study[J].journal interventional radiology,2013,(02):117-120.
点击复制

经肱/桡动脉留置针穿刺和经股动脉插管自体动静脉内瘘造影的对比研究()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年02期
页码:
117-120
栏目:
血管介入
出版日期:
2013-02-25

文章信息/Info

Title:
Trans?蛳 brachial/radial indwelling needle puncture or trans?蛳 femoral catheterization for autologous arteriovenous fistula angiography: a comparative study
作者:
顾钱峰 傅海飞 周 兵 张 斌
Author(s):
GU Qian?蛳 feng FU Hai?蛳 fei ZHOU Bing ZHANG Bin.
Department of Radiology, Yinzhou District Second People’s Hospital, Ningbo 315100, China
关键词:
【关键词】 动静脉内瘘 透析 经肱/桡动脉 造影术
文献标志码:
A
摘要:
【摘要】 目的 比较经肱/桡动脉留置针穿刺和经股动脉穿刺插管行血液透析患者自体动静脉内瘘造影的优势和不足。方法 2011年1月至2012年6月对55例临床怀疑有内瘘狭窄或闭塞患者行内瘘造影,并将患者随机分为经肱/桡动脉留置针穿刺造影(试验组30例)和经股动脉穿刺选择性插管造影(对照组25例)两组。比较两组患者的穿刺成功率、检查时间、检查费用、对比剂用量、成像质量和并发症。结果 两组均完成自体动静脉内瘘造影。检查时间、检查费用和对比剂用量在试验组分别为(15.25 ± 4.26)min、(1 003.23 ± 8.36)元和(12.37 ± 1.43)ml,对照组分别为(32.96 ± 6.72)min、(2 410.45 ± 12.37)元和(26.88 ± 3.92)ml,组间差异均有统计学意义(P < 0.05);在穿刺成功率、成像质量和并发症方面,两组间差异无统计学意义(P > 0.05)。结论 经肱/桡动脉近端穿刺内瘘造影具有微创、对比剂用量少、图像清晰、患者恢复快的优点,值得临床大力推广。

参考文献/References:

[1] 夏 青, 高新庐, 祝匡明. 64排CT血管造影对血液透析患者内瘘的临床意义[J]. 中国血液净化, 2012, 11: 84.[2] 林开勤, 方学华. 血液透析患者上肢动静脉内瘘狭窄或闭塞的介入治疗[J]. 介入放射学杂志, 2010, 19: 130 ?蛳 131.[3] Ilhan G, Esi E, Bozok S, et al. The clinical utility of vascular mapping with Doppler ultrasound prior to arteriovenous fistula construction for hemodialysis access[J]. J Vasc Access, 2012, [Epub ahead of print].[4] Ferring M, Claridge M, Smith SA, et al. Routine preoperative vascular ultrasound improves patency and use of arteriovenous fistulas for hemodialysis: a randomized trial[J]. Clin J Am Soc Nephrol, 2010, 5: 2236 ?蛳 2244.[5] 叶朝阳, 戎 殳, 毛志国, 等. CT血管造影三维血管重建在诊断血管通路狭窄中的应用[J]. 中华肾脏病杂志, 2005, 21: 227 ?蛳 228.[6] Wasinrat J, Siriapisith T, Thamtorawat S, et al. 64?蛳 slice MDCT angiography of upper extremity in assessment of native hemodialysis access[J]. Vasc Endovascular Surg, 2011, 45: 69 ?蛳 77.[7] Dimopoulou A, Raland H, Wikstr?觟m B, et al. MDCT angiography with 3D image reconstructions in the evaluation of failing arteriovenous fistulas and grafts in hemodialysis patients[J]. Acta radiol, 2011, 52: 935 ?蛳 942.[8] Doelman C, Duijm LE, Liem YS, et al. Stenosis detection in failing hemodialysis access fistulas and grafts: comparison of color Doppler ultrasonography, contrast?蛳 enhanced magnetic resonance angiography, and digital subtraction angiography[J]. J Vasc Surg, 2005, 42: 739 ?蛳 746.[9] Froger CL, Duijm LE, Liem YS, et al. Stenosis detection with MR angiography and digital subtraction angiography in dysfunctional hemodialysis access fistulas and grafts[J]. Radiology, 2005, 234: 284 ?蛳 291.

备注/Memo

备注/Memo:
(收稿日期:2012?鄄11?鄄07)
更新日期/Last Update: