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自体动静脉内瘘成熟不良的发病机制及治疗进展研究

谭 岁赛, 冯 亮, 吴 卫红, 石 阳, 刘 辉*

摘要

自体动静脉内瘘(AVF)是终末期肾病(ESRD)患者血液透析的首选血管通路,但其成熟不良发生率高达 25%-
65%,严重影响透析效果与患者预后。本文系统综述 AVF 成熟不良的发病机制及治疗进展:发病机制涵盖血流动力学异常、
血管重构障碍及内皮功能紊乱,并受患者血管条件、全身状态及手术技术等多因素影响。治疗方面,传统手术干预与腔内
介入治疗是主流手段,新型材料、基因治疗及药物干预展现出潜在应用价值。当前研究面临成熟标准不统一、生物力学模
型转化效率低等挑战,未来需聚焦个体化评估体系构建及干细胞治疗、智能监测技术的创新探索。本综述为临床精准干预
AVF 成熟不良提供理论依据与研究方向。

关键词

自体动静脉内瘘;成熟不良;发病机制;治疗进展;血液透析通路

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