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血管成形术在治疗血液透析动静脉内瘘狭窄中的作用

贺斌 孙寒 成友华 俞赶年 谭隆旺

昆明医学院学报2012,Vol.33Issue(1):101-103,3.
昆明医学院学报2012,Vol.33Issue(1):101-103,3.

血管成形术在治疗血液透析动静脉内瘘狭窄中的作用

Role of Percutaneous Transluminal Angioplasty in the Treatment of Hemodialysis Patients with Arteriovenous Fistula Stenosis

贺斌 1孙寒 1成友华 1俞赶年 1谭隆旺1

作者信息

  • 1. 成都军区昆明总医院医学影像科,云南,昆明,650032
  • 折叠

摘要

Abstract

Objective To observate the role of percutaneous transluminal angioplasty (PTA) in the treatment of hemodialysis patients with arteriovenous fistula stenosis. Methods Percutaneous transluminal angioplasty was performed in 21 hemodialysis patients with arteriovnous fistula stenosis. The preoperative and postoperative angiographic demonstration, the volume of blood flow, and the level of venous pressure during hemodialysis were compared. Results The constricted segment was dilated to 80% after the PTA. During the hemodilysis, the volume of blood flow increased from preoperative (135.41 ± 20.89) mL/min to postoperative (265.37± 12.28) mL/min, and the level of venous pressure decreased from preoperative (189.58± 12.32) mmHg to postoperative (100.62± 13.67) mmHg when the blood flow was at a rate of 250 mL/min. No complications such as vascular perforation, hemorrhage and thrombosis were observed. Conclusion PTA is an effective treatment for arteriovnous fistula stenosis and has important clinical application value in maintenance hemodialysis.

关键词

血液透析/动静脉内瘘/血管成形术

Key words

Hemodialysis/ Arteriovnous fistula/ Percutaneous transluminal angioplasty

分类

医药卫生

引用本文复制引用

贺斌,孙寒,成友华,俞赶年,谭隆旺..血管成形术在治疗血液透析动静脉内瘘狭窄中的作用[J].昆明医学院学报,2012,33(1):101-103,3.

昆明医学院学报

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