[1]毛 甜,张 玲,姜金孝.PTA联合介入吸栓治疗自体动静脉内瘘血栓的临床研究[J].介入放射学杂志,2026,(05):551-556.[doi:10.3969/j.issn.1008-794X.2026.05.015 ]
 MAO Tian,ZHANG Ling,JIANG Jinxiao..Percutaneous transluminal angioplasty combined with interventional suction thrombectomy for the treatment of autogenous arteriovenous fistula:a clinical study[J].J Intervent Med,2026,(05):551-556.[doi:10.3969/j.issn.1008-794X.2026.05.015 ]
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PTA联合介入吸栓治疗自体动静脉内瘘血栓的临床研究()

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

卷:
期数:
2026年05
页码:
551-556
栏目:
临床研究
出版日期:
2026-05-25

文章信息/Info

Title:
Percutaneous transluminal angioplasty combined with interventional suction thrombectomy for the treatment of autogenous arteriovenous fistula:a clinical study
文章编号:
1008-794X(2026)-005-0551-05
作者:
毛 甜 张 玲 姜金孝
438000 湖北黄冈 黄冈市中心医院肾病内科
Author(s):
MAO TianZHANG LingJIANG Jinxiao.
Department of Nephropathy,Huanggang Municipal Central Hospital,Huanggang,Hubei Province 438000,China
关键词:
自体动静脉内瘘血栓 介入吸栓 经皮腔内血管成形术 一期通畅率 并发症
分类号:
R692.5
DOI:
10.3969/j.issn.1008-794X.2026.05.015
文献标志码:
B
摘要:
目的 分析介入吸栓联合经皮腔内血管成形术(PTA)治疗自体动静脉内瘘(AVF)血栓的临床价值。方法 采用回顾性病例对照研究,选取2020年3月至2023年6月黄冈市中心医院收治的500例AVF血栓患者,并按照治疗方式不同将其分为A组(n=212)及B组(n=288),均实施PTA治疗,在PTA基础上A组实施导管溶栓,B组实施介入吸栓治疗,对比两组患者围术期相关指标、术后一期通畅率及二期通畅率,以及治疗前后临床及超声参数,并记录患者并发症发生情况。结果 两组手术出血量对比无显著差异(P>0.05),B组手术时间短于A组,手术成功率高于A组(P<0.05); 两组术后3个月一期通畅率及术后3、6、12个月二期通畅率对比,未见明显差异(P>0.05); B组术后6、12个月一期通畅率高于A组(P<0.05); 术前两组血管狭窄处内径、AVF自然血流量及透析血流量对比无显著差异,术后1 d两组以上参数均升高,且B组高于A组(P<0.05); B组并发症总发生率为2.78%(血肿5例、穿刺点渗血3例),A组并发症总发生率为7.55%(血肿8例、穿刺点渗血6例、感染1例、再狭窄1例),均未出现严重出血及肺栓塞; B组并发症发生率较A组更低(χ2=6.079,P<0.05)。结论 介入吸栓联合PTA治疗AVF血栓可提高手术成功率及一期通畅率,改善临床及超声参数,并降低并发症发生风险。

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(收稿日期:2025-04-01)
(本文编辑:茹 实)

备注/Memo

备注/Memo:
通信作者: 姜金孝 E-mial:duad2025c@163.com
更新日期/Last Update: 2026-05-25