[1]代 恩,何小勤,杨 敏,等.超声导引经皮腔内血管成形术治疗自体动静脉内瘘狭窄的效果 [J].介入放射学杂志,2023,32(03):258-261.
 DAI En,He Xiaoqin,YANG Min,et al.The efficacy of ultrasound-guided percutaneous transluminal angioplasty in the treatment of autologous arteriovenous fistula stenosis[J].journal interventional radiology,2023,32(03):258-261.
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超声导引经皮腔内血管成形术治疗自体动静脉内瘘狭窄的效果
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年03
页码:
258-261
栏目:
临床研究
出版日期:
2023-03-31

文章信息/Info

Title:
The efficacy of ultrasound-guided percutaneous transluminal angioplasty in the treatment of autologous arteriovenous fistula stenosis
作者:
代 恩 何小勤 杨 敏 李 志
Author(s):
DAI En He Xiaoqin YANG Min LI Zhi.
Department of Nephrology, Leshan Municipal Shizhong District People’s Hospital, Leshan, Sichuan Province 614000, China
关键词:
【关键词】 自体动静脉内瘘血管狭窄经皮腔内血管成形术初级通畅Cox比例风险回归模型
文献标志码:
A
摘要:
【摘要】 目的 探讨超声导引经皮腔内血管成形术(PTA)治疗自体动静脉内瘘(AVF)狭窄的临床疗效,分析术后通畅率影响因素。方法 收集2020年1月至12月在乐山市市中区人民医院接受超声导引PTA治疗的32例AVF狭窄患者临床资料。比较手术前后血管狭窄处内径、肱动脉血流量、AVF自然血流量和透析血流量等测量值。计算术后随访3、6、12个月初级通畅率。采用Cox比例风险回归模型分析影响初级通畅率的因素。结果 术后AVF血管原狭窄处内径明显增大,肱动脉血流量、AVF自然血流量和透析血流量均明显增加,与术前相比差异有统计学意义(均P<0.01)。PTA手术成功率为93.8%(30/32),2例改行开放手术后AVF重建成功。术后3、6、12个月累计初级通畅率分别为90.0%、76.7%、69.7%。单因素及多因素Cox比例风险回归模型分析显示,AVF使用时间(HR=3.478, 95%CI=1.105~10.127,P=0.036)、狭窄长度>3 cm(HR=3.149, 95%CI=1.682~10.128,P=0.018)是初级通畅率的独立影响因素。结论 PTA是AVF狭窄患者首选治疗方法,手术成功率高、近期效果好,中远期疗效有待进一步提高。AVF使用时间、狭窄长度>3 cm是术后初级通畅率的独立影响因素。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2022- 01- 17)
(本文编辑:边 佶)
更新日期/Last Update: 2023-03-28