Effect of Ultrasound-guided Percutaneous Balloon Dilation on the Degree of Vascular Stenosis,Maximum Dialysis Flow and Postoperative Comfort in Patients with Arteriovenous Fistula Stenosis
DING Changchun
Abstract：Objective To investigate the effects of ultrasound-guided percutaneous balloon dilation on the degree of vascular stenosis,maximum dialysis flow and postoperative comfort in patients with arteriovenous fistula stenosis(AFS).Methods In total,90 patients with AFS admitted from January 2021 to January 2023 were divided into open operation group(n =43)and interventional treatment group(n =47)according to different surgical plans.The open operation group received surgical treatment,and the interventional treatment group received ultrasound-guided percutaneous balloon dilation.The pa-tency rate of arteriovenous fistula at 1,3 and 6 months after surgery,the inner diameter of vascular stenosis at 1 month before surgery and 1 month after surgery,the maximum dialysis flow,the natural flow of internal fistula,and the comfort level before surgery and at 3 days after surgery were compared between the two groups.The incidence of complications within 6 months af-ter surgery were analyzed.Results At 6 months after surgery,the patency rate of arteriovenous fistula in interventional treat-ment group was higher than that in open operation group(P＜0.05).At 1 month after surgery,the inner diameter of vascular stenosis in the two groups increased compared with that before surgery,and the maximum dialysis flow and natural internal fis-tula flow increased compared with that before surgery,and the above indicators in interventional treatment group were greater or higher than those in open surgery group(P＜0.05).At 3 days after surgery,the physiological,psychophysiological,socio-cultural and environmental scores in General Comfort Questionnaire(GCQ)of the two groups were lower than those before sur-gery,but the physiological,psychophysiological,sociocultural and environmental scores in GCQ of the interventional treatment group were higher than those of the open surgery group(P＜0.05).There were no significant differences in the incidence of postoperative infection,puncture site hematoma,hemorrhage and subcutaneous emphysema between the two groups(P＞0.05).Conclusion Ultrasound-guided percutaneous balloon dilation is more helpful to ensure the long-term postoperative patency rate of patients with AFS,and can significantly improve the internal diameter of the vascular stenosis,the maximum dialysis flow,and the natural flow of the internal fistula,improve the postoperative comfort,and will not lead to the increase of postoperative complications.
Keywords：Renal dialysisArteriovenous fistula stenosisUltrasound-guided percutaneous balloon dilationInternal fistula obstruction rateDialysis flowComfort levelPostoperative complicationsSubcutaneous emphysema
Publication Date：2023-09-22
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 108-111 )