彩超引导下经皮腔内高压球囊扩张血管成形术治疗自体动静脉内瘘狭窄的临床效果  

Clinical Effect of Color Ultrasound-Guided Percutaneous Transluminal High-Pressure Balloon Dilatation Angio⁃plasty in Treatment of Autologous Internal Arteriovenous Fistula Stenosis

作　　者：郭锐锋 李丹[1] 周芬辉 Guo Ruifeng;Li Dan;Zhou Fenhui(The Second People's Hospital of Shantou,Shantou 515000,Guangdong Province,China)

机构地区：[1]汕头市第二人民医院,广东汕头515000

出　　处：《中国社区医师》2024年第34期46-48,共3页Chinese Community Doctors

摘　　要：目的:分析彩超引导下经皮腔内高压球囊扩张血管成形术治疗自体动静脉内瘘狭窄的临床效果。方法:选取2023年1月—2024年6月汕头市第二人民医院收治的自体动静脉内瘘狭窄患者50例作为观察对象,随机分为对照组、观察组,各25例。两组均实施彩超引导下经皮球囊扩张血管成形术,对照组术中应用刻痕球囊扩张血管成形,观察组术中应用高压球囊扩张血管成形。对比两组临床疗效、血流指标、并发症发生情况、凝血功能[纤维蛋白原(Fg)、D-二聚体(D-D)水平]。结果:观察组治疗总有效率高于对照组(P=0.037)。治疗前,两组肱动脉血流峰值流速、肱动脉血流量比较,差异无统计学意义(P>0.05);治疗后,两组肱动脉血流峰值流速降低,肱动脉血流量提高,且观察组改善幅度大于对照组(P<0.05)。两组并发症发生率对比,差异无统计学意义(P>0.05)。治疗前,两组Fg、D-D水平比较,差异无统计学意义(P>0.05);治疗后,两组Fg、D-D水平下降,且观察组低于对照组(P<0.05)。结论:彩超引导下经皮腔内高压球囊扩张血管成形术治疗自体动静脉内瘘狭窄的临床效果显著,可改善患者血流指标、凝血功能,且临床应用安全性高。Objective:To analyze the clinical effect of color ultrasound-guided percutaneous transluminal high-pressure bal⁃loon dilatation angioplasty in treatment of autologous internal arteriovenous fistula stenosis.Methods:A total of 50 patients with autogenous internal arteriovenous fistula stenosis admitted to the Second People's Hospital of Shantou from January 2023 to June 2024 were selected as the observation subjects.They were randomly divided into a control group and an observation group,with 25 cases in each group.Both groups underwent color ultrasound-guided percutaneous balloon dilatation angio⁃plasty,with the control group receiving scoring balloon dilatation angioplasty and the observation group receiving highpressure balloon dilatation angioplasty.The clinical efficacy,blood flow indicators,occurrence of complications,and blood co⁃agulation function[fibrinogen(Fg),D-dimer(D-D)levels]were compared between the two groups.Results:The total effective rate of treatment in the observation group was higher than that in the control group(P=0.037).Before treatment,there was no significant difference in the brachial artery peak flow velocity and brachial artery blood flow between the two groups(P>0.05).After treatment,the brachial artery peak flow velocity decreased and brachial artery blood flow increased in the two groups,and the improvement in the observation group was greater than that in the control group(P<0.05).There was no significant differ⁃ence in the incidence of complications between the two groups(P>0.05).Before treatment,there was no significant difference in Fg and D-D levels between the two groups(P>0.05).After treatment,the Fg and D-D levels decreased in the two groups,and the levels in the observation group were lower than those in the control group(P<0.05).Conclusion:Color ultrasound-guided percutaneous transluminal high-pressure balloon dilatation angioplasty has significant clinical effects in the treatment of au⁃tologous internal arteriovenous fistula stenosis,and can improve blood flow

关 键 词：自体动静脉内瘘狭窄 彩超 经皮球囊扩张血管成形术 高压球囊 

分 类 号：R692.5[医药卫生—泌尿科学]