Fogarty球囊导管取栓联合经皮腔内血管成形术在动静脉内瘘失功患者中的应用效果  

Application Effect of Fogarty Balloon Catheter Thrombectomy Combined with Percutaneous Transluminal Angio⁃plasty in Patients with Arteriovenous Fistula Failure

作　　者：曾清泉 萧洁瑜 Zeng Qingquan;Xiao Jieyu(Department of Nephrology DistrictⅠ,Maoming People's Hospital1,Maoming 525000,Guangdong Province,China;Department of Endocrinology and Metabolism,Maoming People's Hospital2,Maoming 525000,Guangdong Province,China)

机构地区：[1]茂名市人民医院肾内科一区,广东茂名525000 [2]茂名市人民医院内分泌代谢内科,广东茂名525000

出　　处：《中外医药研究》2023年第12期9-11,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：茂名市科技计划项目(编号:2021031)。

摘　　要：目的:探究Fogarty球囊导管取栓+经皮腔内血管成形术在动静脉内瘘失功患者中的应用效果。方法:选取2020年6月—2021年9月茂名市人民医院终末期肾病动静脉内瘘失功患者60例为研究对象,以信封法分为对照组和研究组,各30例。对照组给予传统方法重新建立动静脉内瘘术,研究组实施Fogarty球囊导管取栓+经皮腔内血管成形术。比较两组手术成功率,术后3、6、12个月血液透析(HD)通畅率、内瘘血流量。结果:两组手术成功率比较,差异无统计学意义(P>0.05);两组术后3、6、12个月HD通畅率比较,差异无统计学意义(P>0.05);术后3、6、12个月,研究组内瘘血流量均高于对照组,差异有统计学意义(P<0.05)。结论:Fogarty球囊导管取栓+经皮腔内血管成形术手术成功率、术后HD时通畅率与传统动静脉内瘘术相当,术后内瘘血流量优于传统动静脉内瘘术。Objective:To explore the application effect of Fogarty balloon catheter thrombectomy+percutaneous transluminal an⁃gioplasty in patients with arteriovenous fistula failure.Methods:Sixty patients with end-stage renal disease and arteriovenous fis⁃tula failure in Maoming People's Hospital from June 2020 to September 2021 were selected as the research subjects and divided into a control group and a study group using the envelope method,with 30 cases in each group.The control group was given the traditional method of re-establishing arteriovenous fistula,and the study group was given Fogarty balloon catheter thrombectomy+percutaneous transluminal angioplasty.The operation success rate,hemodialysis(HD)patency rate and internal fistula blood flow at 3,6 and 12 months after operation were compared between the two groups.Results:There was no significant difference in the success rate of the two groups(P>0.05);There was no statistically significant difference in the HD patency rates between the two groups at 3,6,and 12 months after surgery(P>0.05);At 3,6,and 12 months after surgery,the fistula blood flow in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The surgical success rate and postoperative HD patency rate of Fogarty balloon catheter thrombectomy+percutaneous transluminal angioplas⁃ty are comparable to those of traditional arteriovenous fistula surgery,and the postoperative fistula blood flow is better than that of traditional arteriovenous fistula surgery.

关 键 词：终末期肾病 动静脉内瘘失功 Fogarty球囊导管取栓 经皮腔内血管成形术 

分 类 号：R47[医药卫生—护理学]