留置针溶栓结合球囊扩张成形术治疗前臂动静脉内瘘急性闭塞临床评价  

作　　者：汤金全[1] 张晓宏 罗凤莲[1] 潘勇[1] 

机构地区：[1]四川省泸州市人民医院,四川泸州646000

出　　处：《中国药业》2019年第S01期19-20,共2页China Pharmaceuticals

摘　　要：目的探讨留置针溶栓结合球囊扩张成形术(PTA)治疗前臂动脉内瘘急性闭塞的临床疗效及安全性。方法选取医院2017年6月至2019年6月收治的前臂动脉内瘘急性闭塞患者100例,随机分为对照组与观察组,各50例。对照组经肱动脉插管溶栓结合PTA治疗,观察组留置针溶栓结合PTA治疗,对比两组患者术后开通成功且达到透析条件的成功率。结果对照组术后开通成功率为94.00%,观察组为96.00%,无显著差异(P>0.05);观察组2例与对照组3例治疗失败,最终接受高位造瘘或对侧造瘘。结论前臂动静脉内瘘急性闭塞治疗中,留置针溶栓结合PTA,效果好,不良反应少,操作简便,价格低廉,具有一定临床价值。Objective To investigate the clinical efficacy and safety of thrombolysis with indwelling needle combined with balloon angioplasty(PTA)in the treatment of acute occlusion of forearm artery fistula.Methods From June 2017 to June 2019,100 patients with acute occlusion of internal forearm artery fistula were randomly divided into control group and observation group,50 cases in each group.The control group was treated with thrombolysis by brachial artery intubation combined with PTA,and the observation group was treated with thrombolysis by indwelling needle combined with PTA.Results The success rate of operation was 94.00%in the control group and 96.00%in the observation group,there was no significant difference between the two groups(P>0.05).Two patients in the observation group and three patients in the control group failed in the treatment,and finally received high-level or contralateral fistulation.Conclusion In the treatment of acute occlusion of forearm arteriovenous fistulas,the combination of thrombolysis and PTA with indwelling needle has good effect,few adverse reactions,simple operation and low price.

关 键 词：留置针溶栓 球囊成形术 前臂动静脉内瘘急性闭塞 临床疗效 

分 类 号：R969.4[医药卫生—药理学]