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題 名 | The Salvage of Occluded Gore-Tex Grafts with the Assistance of Endoscope in Hemodialysis Patients=以內視鏡為輔助清除血液透析病患人工血管的栓塞 |
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作 者 | 杜隆成; 歐聖運; 蕭弘道; 董光義; 黃文成; | 書刊名 | 中華民國整形外科醫學會雜誌 |
卷 期 | 9:3 2000.09[民89.09] |
頁 次 | 頁161-165 |
分類號 | 416.3 |
關鍵詞 | 內視鏡; 血液透析; 人工血管栓塞; Endoscope; Hemodialysis; Thrombectomy; |
語 文 | 英文(English) |
中文摘要 | 尿毒症病患以 PTFE人工血管作血管通路接受血液透析是很常見的手術,然而經過一段時間以後,血管通路卻容易引起栓塞。以往都是用氣球擴張盲目的方式去清除栓塞。從1996年6月到1998年1月共16起病患手術只開3公分的切口。用內視鏡來查看栓塞的情形,並使用夾鉗將栓塞取出,追綜一年發現,3個月累積通暢率為87.5%,6個月為75%,9個月為68.7%,一年為62.5%,其中一例併發靜脈端血管夾破,因此另外作血管修補手術。有兩例因為內膜增生,內管狹窄改作塊狀人工血管移植修補,有兩例術後血液通透情形不佳,人工血管長期使用下無法再用,因此改做新的人工血管。初步的結果,以內視鏡加上夾鉗來清除栓塞是可以接受的,但仍須累積更多的病例來作長期的評估。 |
英文摘要 | The PTFE grafts have been used as vascular access for hemodialysis patients for a long period of time. The most common complication of the grafts was thrombosis. The treatment of thrombosis has consisted of surgical revision of the stenosis or balloon thrombectomy. An alternative treatment is via endoscope and grasper for thrombectomy with only one incision. From June 1996 to January 1998, 16 patients received endoscopic thrombectomy. The cumulative patency rate at 3 months was 87.5%, 75% at 6 months, 68.7% at 9 months and 62.5% at 12 months. Rupture of the vessel wall at the Gore-Tex venous anastomosis site occurred in one patient. Patch grafts of the venous end due to hyperplasia of the venous intima were done in 2 grafts. Another 2 complications of immediate obstruction also occurred. The initial result was acceptable. Further study of the long-term result was necessary. |
本系統中英文摘要資訊取自各篇刊載內容。