146例患者建立动静脉内瘘的病例分析  

Analysis of 146 Patients with Arteriovenous Fistula Plasty

作　　者：宛家奎[1] 水润芝[1] 李金玉[1] 章凌云[1] 

机构地区：[1]黄山市人民医院,安徽黄山245000

出　　处：《透析与人工器官》2012年第1期35-38,共4页Chinese Journal of Dialysis and Artificial Organs

摘　　要：目的探讨终末期肾病患者动静脉内瘘建立的手术方式及手术经验,提高对动静脉内瘘手术的认识。方法选择我院2009年5月至2011年5月间行动静脉内瘘成形手术146例患者,分析手术方式的选择、操作要点、成功率及并发症等。结果动静脉内瘘成形手术总体成功率99.3%,其中前臂自体动静脉内瘘成形术145例、肘窝部自体动静脉内瘘成形术1例。术后并发症主要有吻合口血栓形成,血流量不足,手术切口渗血。结论动静脉内瘘的首选是前臂自体动静脉内瘘,其次是肘窝部自体动静脉内瘘。充分的术前评估及准备、手术方法的正确判断、及时处理术后各种并发症是成功建立内瘘的保证。Objective To study the operation method and experience of arteriovenous fistula operation in patients with end stage renal disease,and to improve the knowledge about arteriovenous fistula operation.Methods 146 patients with arteriovenous fistula(AVF) operation in 2009-2011 were analyzed about the selection of operation method,operation technique,achievement ratio and complication.Results Overall achievement ratio of AVF was 99.3%.145 cases were native forearm AVF operation and 1 case was autogenous elbow AVF.The postoperative complications included anastomotic thrombosis,lack of blood flow,bleeding of surgical incision.Conclusion The first choice of AVF is native forearm AVF and the next is autogenous elbow AVF operation.Adequate preoperative evaluation and preparation,correct judgement of surgical methods,timely treatment of postoperative complications are guarantees of arteriovenous fistula operation successfully.

关 键 词：动静脉内瘘成形术 终末期肾病 

分 类 号：R459.5[医药卫生—治疗学]