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題 名 | Long Term Result of PTFE Graft for Hemodialytic Vascular Access=洗腎性PTFE人工動靜脈橋瘻管長期用之報告 |
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作 者 | 鄭伯智; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 25:2 民81.03-04 |
頁 次 | 頁1070-1076 |
分類號 | 416.273 |
關鍵詞 | 洗腎性PTFE人工動靜脈橋瘻管; |
語 文 | 英文(English) |
中文摘要 | Polytetrafluoroethylene ( PTFE )人工動靜脈橋瘻管因其具備性質穩定,容易保存,操作容易及體內植入後無組織反應等諸項好處,故廣泛運用於長期洗腎的患者身上,台北榮總醫院於1983年8月至1990年12月,在216位患者共植入242根人工血管,植入的位置及血管接合方式共分五種,有前臂弧型,前臂環型,上臂弧型,上臂環型及大腿環型。整體上在頭一年的瘻管通暢率為81%,第二年為73%,第四年為56%,而通暢率與植入在統計學上的比較,發現上臂弧型最好,其次為前臂環型(P<0.05)。 無可避免地,PTFE動靜脈橋瘻管在長期使用上也遭遇到一些問題如:瘻管假性內膜增生,感染,血塊堵塞,假性動脈瘤,瘻管竊血症,我們的經驗發現,合併症的處理,若是早期診斷與治療都能使瘻管恢復功能。 |
英文摘要 | Expanded polytetrafluoroethylene (PTFE) graft is widely used as vascular access for patients receiving hemodialysis. 242 grafts were implanted in 216 patients and followed from 3 to 64 months. The annular cumulative patency rate of graft was 81 % at 12 month, 73% at 24 months and 56% at 48 months. According to the graft's configuration and location, there are five patterns can be chosen that is forearm curve, forearm loop, upper arm curve, upper arm loop and thigh loop. In our series, the group of upper arm curve graft has a better long term patency rate and fewer complications than others. There are 74 cases with significant graft malfunction that including thrombosis, intimal hyperplasia, infection and pseudoaneurysm. In our series, salvage operation has 68% successful rate. Intima hyperplasia associated with graft occlusion is the leading cause of graft malfunction. We conclude that the early detection and adequate treatment of graft malfunctin may get assurance of long term graft patency. |
本系統中英文摘要資訊取自各篇刊載內容。