超声引导下留置针穿刺技术在动静脉内瘘血栓溶栓中的效果分析

Analysis on the efficacy of the ultrasonic-guided indwelling needle puncture in thrombolysis of arteriovenous thrombosis

目的探讨临床超声引导下留置针穿刺技术在动静脉内瘘穿刺溶栓中的应用效果。方法选取2018年3-9月在我院治疗的动静脉内瘘血栓患者50例作为对照组,采用常规穿刺溶栓治疗;选取2018年10月-2019年3月在我院治疗的动静脉内瘘血栓患者50例作为观察组,采用超声引导下穿刺溶栓治疗。比较2组患者溶栓结果、再通时间、并发症发生情况、治疗费用和住院时间。结果观察组溶栓成功率明显高于对照组(χ^2=9.490,P=0.002),平均再通时间短于对照组(t=9.490,P<0.001),穿刺后并发症发生率低于对照组(χ^2=10.519,P=0.001);观察组治疗费用和住院时间均低于对照组(t=7.371,P<0.001;t=5.255,P=0.001)。结论超声引导下留置针穿刺在动静脉内瘘血栓溶栓中的应用,有效性更强、安全性更高、经济性更优,值得推广和应用。

Objective To explore the clinical efficacy of the ultrasound-guided indwelling needle puncture technique in thrombolysis of arteriovenous internal fistula.Methods Fifty patients with arteriovenous internal fistula thrombosis treated in our hospital between March and September 2018 were selected into the control group,and given the conventional puncture thrombolysis.Another 50 counterparts treated between October 2018 and march 2019 were selected into the observation group,and the ultrasound-guided puncture thrombolysis was applied.The general condition,thrombolytic results,recanalization time,complications,hospitalization cost and hospital stay were compared between the two groups.Results Compared with the control group,the thrombolysis success rate was significantly higher in the observation group(χ^2=9.490,P=0.002).The mean recanalization time and hospital stay of the observation group was significantly shorter than that of the control group(t=9.490,P<0.001;t=5.255,P=0.001).The complication rate and hospitalization cost of the former group were significantly lower than the latter(χ^2=10.519,P=0.001;t=7.371,P<0.001).Conclusion The ultrasound-guided indwelling needle puncture technique is more effective,safe and economic in the thrombolysis of arteriovenous internal fistula.Therefore,it is worth popularizing and applying in the clinical practice.