三种不同术式治疗动静脉内瘘Ⅰ型狭窄的效果及安全性对比  

Comparison of the efficacy and safety of three different operation methods in the treatment of arteriovenous fistula typeⅠstenosis

作　　者：葛芳芳 俞振飞 卢晓月 GE Fangfang;YU Zhenfei;LU Xiaoyue(Zhejiang chinese medical university,Zhejiang 310053,China;不详)

机构地区：[1]浙江中医药大学,杭州310053 [2]浙江中医药大学附属杭州市中医院 [3]浙江省青春医院

出　　处：《浙江创伤外科》2024年第8期1429-1432,共4页Zhejiang Journal of Traumatic Surgery

摘　　要：目的探讨三种不同术式治疗动静脉内瘘Ⅰ型狭窄的效果及安全性。方法选择本院2019年1月至2023年5月收治的54例动静脉内瘘Ⅰ型狭窄患者作为研究对象,将患者按不同手术方法分为经皮血管腔内血管成形术组、内瘘重建组、双瘘重建组,各18例。三组患者术后均进行12个月的临床随访,详细记录术后3、6、12个月的内瘘通畅率,并比较三组患者术后血肿、穿刺点渗血的发生率。结果双瘘重建组、内瘘重建组患者术后3、6、12个月的内瘘通畅率均明显高于经皮血管腔内血管成形术组(P<0.05),双瘘重建组、内瘘重建组患者术后3、6、12个月的内瘘通畅率比较,差异无统计学意义(P>0.05);双瘘重建组、内瘘重建组患者术后血肿、穿刺点渗血的发生率均明显低于经皮血管腔内血管成形术组患者,(P<0.05),双瘘重建组、内瘘重建组患者术后血肿、穿刺点渗血的发生率比较,差异无统计学意义(P>0.05)。结论内瘘双瘘重建术、内瘘切除重建术治疗动静脉内瘘Ⅰ型狭窄的效果及安全性优于经皮血管腔内血管成形术,可根据患者的病情,选择适合的术式进行治疗。Objective To investigate the efficacy and safety of three different operation methods in the treatment of arteriovenous fistula typeⅠstenosis.Methods 54 patients with arteriovenous fistula typeⅠstenosis admitted to our hospital from January 2019 to January 2024 were selected as the study objects,and divided into percutaneous transluminal angioplasty group,internal fistula reconstruction group and double fistula reconstruction group according to random number table method,with 18 cases in each group.Clinical follow-up was performed for 12 months after surgery in all three groups,and the patency rate of internal fistula at 3,6 and 12 months after surgery was recorded in detail,and the incidence of postoperative hematoma and puncture point bleeding was compared among the three groups.Results The internal fistula patency rates of patients in the double fistula reconstruction group and the internal fistula reconstruction group were significantly higher than those in the percutaneous endovascular angioplasty group at 3,6 and 12 months after surgery(P<0.05),while the internal fistula patency rates of patients in the double fistula reconstruction group and the internal fistula reconstruction group at 3,6 and 12 months after surgery had no statistical significance(P>0.05).The incidence of postoperative hematoma and puncture point bleeding in the double fistula reconstruction group and the internal fistula reconstruction group was significantly lower than that in the percutaneous endovascular angioplasty group(P<0.05),while the incidence of postoperative hematoma and puncture point bleeding in the double fistula reconstruction group and the internal fistula reconstruction group had no statistical significance(P>0.05).Conclusion The efficacy and safety of internal fistula double fistula reconstruction and internal fistula resection and reconstruction in the treatment of arteriovenous fistula typeⅠstenosis are superior to that of percutaneous transluminal angioplasty,and suitable surgical treatment can be selected acco

关 键 词：动静脉内瘘Ⅰ型狭窄 经皮血管腔内血管成形术 内瘘切除重建术 内瘘双瘘重建术 内瘘通畅率 

分 类 号：R654.4[医药卫生—外科学]