摘要
目的:探讨自体动静脉内瘘(AVF)狭窄患者高压球囊扩张术后再狭窄的影响因素。方法:将2021年1月—2024年5月在宝应县人民医院因AVF狭窄行高压球囊扩张术的112例患者作为研究对象,术后随访12个月,根据患者再狭窄情况分为再狭窄组、未狭窄组,比较两组一般资料,分析AVF狭窄患者高压球囊扩张术后再狭窄的影响因素。结果:共72例患者术后发生再狭窄,发生率为64.29%。患有糖尿病、透析中发生低血压、狭窄长度>2 cm均为AVF狭窄患者高压球囊扩张术后再狭窄的危险因素(P<0.05)。结论:临床应对患有糖尿病、透析中发生低血压、狭窄长度>2 cm的患者加强术后监测,实施针对性预防措施,进而降低术后再狭窄风险。
Objective:To investigate the influencing factors for restenosis after high-pressure balloon angioplasty in patients with autogenous arteriovenous fistula(AVF)stenosis.Methods:A total of 112 patients who underwent high-pressure balloon angioplasty due to AVF stenosis in Baoying County People's Hospital from January 2021 to May 2024 were selected as the study subjects.Patients were followed up for 12 months postoperatively.They were divided into the restenosis group and the nonstenosis group according to the restenosis.The general data of the two groups were compared,and the influencing factors for restenosis after high-pressure balloon angioplasty in patients with AVF stenosis were analyzed.Results:A total of 72 patients developed restenosis postoperatively,with an incidence of 64.29%.Diabetes mellitus,hypotension during dialysis and stenosis length>2 cm were risk factors for restenosis after high-pressure balloon angioplasty in patients with AVF stenosis(P<0.05).Conclusion:In clinical practice,it is necessary to strengthen postoperative monitoring and implement targeted preventive measures in patients with diabetes mellitus,hypotension during dialysis,and stenosis length>2 cm,thus reducing the risk of postoperative restenosis.
作者
徐洋
杨国奎
焦坚
Xu Yang;Yang Guokui;Jiao Jian(Department of Interventional and Vascular Surgery,Baoying County People's Hospital,Yangzhou 225800,Jiangsu Province,China)
出处
《中国社区医师》
2026年第1期31-33,共3页
Chinese Community Doctors
关键词
自体动静脉内瘘狭窄
高压球囊扩张术
再狭窄
影响因素
Autogenous arteriovenous fistula stenosis
High-pressure balloon angioplasty
Restenosis
Influencing factors
