【摘要】 目的观察Fogarty球囊导管取栓术在急性自体动静脉内瘘栓塞中的临床应用效果。方法将32例急性自体动静脉内瘘栓塞患者按随机数字表法分为2组:A组和B组,每组16例。A组行Fogarty球囊导管取栓术,B组行原位动静脉内瘘重建术。观察2组患者术后内瘘的成熟时间、透析时血流量、内瘘6个月通畅率及再次血栓、肿胀手综合征发生率的情况。结果 A组内瘘的成熟时间、透析时血流量、内瘘6个月通畅率与B组比较差异均无统计学意义(均P>0.05),A组再次血栓、肿胀手综合征发生率均明显低于B组(均P<0.05)。结论应用Fogarty球囊导管处理急性自体动静脉内瘘栓塞效果满意,且能降低再次血栓及肿胀手综合征的发生率。更多还原

【Abstract】 Objective To observe the clinical effect of Fogarty balloon catheter embolectomy on acute thrombosis in autogenous arteriovenous fistula.Methods Thirty-two patients with acute thrombosis in autogenous arteriovenous fistula(AVF)were randomly assigned to receive either Fogarty balloon catheter embolectomy(group A,n=16)or arteriovenous fistula reconstruction(group B,n=16).Fistula maturation time,dialysis blood flow,patency rate of fistula at 6 months,and incidences of re-thrombosis and swollen hand syndrome were observed after operation.Results There were no significant differences in fistula maturation time,dialysis blood flow,patency rate of fistula at 6 months between group A and group B(P>0.05).However,incidences of re-thrombosis and swollen hand syndrome in group A were significantly lower than those in group B(P<0.05).Conclusion Fogarty balloon catheter embolectomy is effective for acute thrombosis in AVF and can reduce the incidences of re-thrombosis and swollen hand syndrome.更多还原