摘要
目的探讨血液透析动静脉内瘘机能不全和闭塞的血管造影诊断及介入治疗效果。方法对42例血液透析动静脉内瘘机能不全和闭塞患者行血管造影。31例血栓形成闭塞者行溶栓治疗,11例血管狭窄者行经皮血管成形术。结果初次造影结果显示,11例单纯性狭窄,31例血栓闭塞。31例通道血栓闭塞溶栓者即时开通率为70．96％(22／31);11例狭窄血管行血管成形术治疗,成功9例,失败2例,成功率81．81％。取栓8例,成功7例,成功率87．75％。结论血管造影对血液透析动静脉内瘘机能不全和闭塞的诊断和介入治疗具有重要意义。
Objective To study the effects of angiography and interventional treatment for arterial and venous niaifuncton and thrombosis.Methods Augiography was performed hi 42 dialysis patients suffered from arterial and Venous malfunction and thrombosis.Among them 31cases with thrombosis occulusioa were subjected to thrombosis-dissolving treatment;11eases with blood vessel stenosis were subjected to percutancous vasc,dar surgical operation （angioplasty）.Results Initial angiography showed that 11 eases were simple stenosis, 31 cases were thrombosis. In the 31 cases with blood thrombosis immediate reopenning rate were 70.96%（22/31） when thrombosis dissolving treatment was performed,In the 11 eases subjected to vascular surgical operation, 9 cases succeeded, 2 cases failed. Success rate was 81.81%. In the 8 cases subjected to thrombosis extraction,7 cases succeeded,with a success rate of 81.8%. Conclusion Anglo graphy is very important for diagnosing arterial and venous malfunction and oeculuslon,as well interven-tional treatment.
出处
《实用医药杂志》
2006年第11期1313-1314,共2页
Practical Journal of Medicine & Pharmacy
关键词
血液透析
动静脉内瘘
放射造影
血管成形术
介入溶栓疗法
取栓术
Arterial and venous fistula Hemodialysis Radiation angiography Angioplasty Interventional thrombosis dissolving treatment Thrombosis extraction
