摘要
目的：总结自体血液透析内瘘通路狭窄与闭塞病例经皮导管溶栓术（CDT）和经皮血管成形术（PTA）治疗的经验。方法：对8例自体血管血液透析内瘘通路狭窄与闭塞患者行血管造影，2例因血栓形成导致通路闭塞病例行CDT治疗，6例通路狭窄病例行PTA治疗。结果：造影结果显示内瘘通路单纯性狭窄6例，完全闭塞2例。介入治疗成功7例，l例通路完全闭塞经CDT结合PTA治疗失败。术后追踪观察，7例均于术后2周进行血液透析治疗，效果良好，随访1～20个月全部通畅，1例治疗失败病例重新手术建立自体血管内瘘通道。结论：CDT和PTA是治疗血液透析内痿通路狭窄与闭塞的安全、有效和微创的方法。
To summarized the treating experiences of CDT and PTA in 8 cases with failure and malfunction hemodialysis access. Methods： Eight cases with failure and malfunction hemodialysis access were examined by angiography and treated by interventional management subsequently. Two cases of thrombosis occlusilon were treated with thrombolytic therapy and 6 cases of malfunctioning hemodialysis access were done with PTA.Results： The initial angiogram showed 6 patients with simple stenosis while 2 patients with thrombo- sis occlusion,with concurrent stenosis in 1 patients. The interventional therapy was successful in 7 cases, 1 of the 7 cases concurrent with stenosis and 6 cases with simple stenosis while the other one confronted failure. Follow up was made in 8 patients concurrent with stenosis without further management and 1 patient failed to conduct PTA was recanalized afterward. Conclusion： Angiography and subsequent interventional management play a critical role in the diagnosis and treatment of failure and malfunction hemodialysis access.
出处
《温州医学院学报》
CAS
2014年第3期213-215,共3页
Journal of Wenzhou Medical College
关键词
血液透析
血栓溶解
血管成形术
hemodialysis
thrombolysis
percutaneous transluminal angioplasty
