前臂动静脉内瘘术狭窄血管内介入治疗的临床意义  

Clinical effect of the intervention treatment for antebrachium arteriovenous fistula stenosis and occlusion

作　　者：周建峰[1] 李明军[1] 戚春厚[1] 黄兆栋[1] 

机构地区：[1]山东省临沂市沂水中心医院,山东276400

出　　处：《当代医学》2011年第14期27-29,共3页Contemporary Medicine

摘　　要：目的探讨糖尿病血液透析患者前臂动静脉内瘘术狭窄的血管内介入治疗的疗效及方法。方法 5例患者4例经患侧肱动脉穿刺、1例经右侧股动脉穿刺,行前臂动脉DSA检查及动静脉内瘘术狭窄血管内球囊成形术(PTA)。结果 5例狭窄程度达到90%～98%,范围4cm～9cm,血管内球囊成形术后狭窄程度改善到10%以下,技术成功率达100%,无严重并发症发生。结论前臂动静脉内瘘术狭窄血管内球囊成形术是安全有效的治疗方法。Objective To investigate the methods and effect of intervention treatment for patients with diabetes mellitus nephropathy and needing hemodialysis whose antebrachium arteriovenous fistulas were stenosed.Methods Brachial artery was chosen as puncture point for four cases and superficial femoral artery was chosen as puncture point for one case to take DSA check-up for antebrachium artery and percutaneous transluminal angioplasty（PTA） for the stenosis of antebrachium arteriovenous fistula.Results The five cases got the diameter stenosis between 90% and 98%,the length between 4cm and 9cm.After PTA all cases got success in technique.The stenosis developed smaller than 10%.Conclusion Percutaneous transluminal angioplasty（PTA） for the stenosis of antebrachium arteriovenous fistula is the better method.

关 键 词：糖尿病 动静脉内瘘术 血管内成形术 

分 类 号：R692.5[医药卫生—泌尿科学] R587.1[医药卫生—外科学]