高压球囊扩张治疗前臂动静脉内瘘血栓的安全性及有效性  

Safety and efficacy of high pressure balloon dilatation in the treatment of forearm arteriovenous internal fistula thrombosis

作　　者：刘少朋 王洪生[1] 朱红玉 刘福增[1] LIU Shao-peng;WANG Hong-sheng;ZHU Hong-yu;LIU Fu-zeng(Department of Neurosurgery,The 81st Group Army Hospital of the Chinese People's Liberation Army,Zhangjiakou Hebei 075000,China)

机构地区：[1]中国人民解放军陆军第八十一集团军医院神经外科,河北张家口075000

出　　处：《局解手术学杂志》2022年第1期35-39,共5页Journal of Regional Anatomy and Operative Surgery

基　　金：河北省医学科学研究课题计划(20181596)。

摘　　要：目的探究高压球囊扩张治疗前臂动静脉内瘘血栓的安全性及有效性。方法选取我院收治的前臂动静脉内瘘血栓患者168例,根据治疗方法将其分为一般球囊组和高压球囊组,每组84例。一般球囊组使用普通球囊进行手术,高压球囊组使用高压球囊进行手术。比较2组患者血红蛋白(Hb)、红细胞分布宽度变异系数(RDW-CV)、红细胞分布宽度(RDW)、血清肌酐(Scr)、血尿素氮(BUN)、血清血小板计数(PLT)、总胆固醇(TC)、三酯甘油(TG)水平。采用生活质量评分量表对患者生活质量进行评价,统计术后3个月开通率及并发症发生情况。结果治疗后高压球囊组患者Hb、RDW-CV、RDW水平低于一般球囊组(P<0.05);治疗后高压球囊组患者PLT水平高于一般球囊组,TC、TG水平低于一般球囊组(P<0.05);治疗后高压球囊组患者Scr、BUN水平低于一般球囊组(P<0.05);治疗后高压球囊组患者社会生活、焦虑、抑郁、日常生活评分高于一般球囊组(P<0.05);高压球囊组患者术后3个月开通率高于一般球囊组(P<0.05);一般球囊组患者并发症发生率高于高压球囊组(P<0.05)。结论使用高压球囊对前臂动静脉内瘘血栓患者进行治疗,能够改善患者红细胞及PLT水平,增强止血功能,减少肾功能损伤,治疗效果较好,安全性较高。Objective To explore the safety and efficacy of high pressure balloon dilatation in the treatment of forearm arteriovenous internal fistula thrombosis.Methods A total of 168 patients with forearm arteriovenous internal fistula thrombosis in our hospital were selected and divided into the general balloon group and the high pressure balloon group according to the treatment method,with 84 cases in each group.The general balloon group used the ordinary balloon for surgery,and the high pressure balloon group used the high pressure balloon for surgery.The levels of hemoglobin(Hb),coefficient of variation of red blood cell distribution width(RDW-CV),red blood cell distribution width(RDW),serum creatinine(Scr),blood urea nitrogen(BUN),serum platelet(PLT),total cholesterol(TC)and triglyceride(TG)were compared between the two groups.The patients'quality of life was evaluated by questionaire of quality of life,and the opening rate 3 months after operation and the occurrence of complications were counted.Results After treatment,the levels of Hb,RDW-CV and RDW in the high pressure balloon group were lower than those in the general balloon group(P<0.05).After treatment,the PLT level in the high pressure balloon group was higher than that in the general balloon group(P<0.05),and the levels of TC and TG were lower than those in the general balloon group(P<0.05).After treatment,the levels of Scr and BUN in the high pressure balloon group were lower than those in the general balloon group(P<0.05).After treatment,the scores of social life,anxiety,depression and daily life in the high pressure balloon group were higher than those in the general balloon group(P<0.05).The opening rate 3 months after operation in the high pressure balloon group was higher than that in the general balloon group(P<0.05).The incidence of complications in the general balloon group was higher than that in the high pressure balloon group(P<0.05).Conclusion The high pressure balloon in the treatment of patients with forearm arteriovenous internal fistula thro

关 键 词：高压球囊 动静脉内瘘 血栓 血红蛋白 

分 类 号：R543[医药卫生—心血管疾病]