动静脉内瘘的术式选择与血管保护(84例分析)  

Surgical Procedures for Internal Arteriovenous Fistula and Protection of Vascular for Hemodialysis:A Study of 84 Cases

作　　者：李牧[1] 孙成林[1] 张辉[1] 段志泉[2] 辛世杰[2] 张强[2] 

机构地区：[1]沈阳医学院奉天医院普外一科,辽宁沈阳110024 [2]中国医科大学附属第一医院血管外科

出　　处：《沈阳医学院学报》2007年第1期18-19,共2页Journal of Shenyang Medical College

摘　　要：目的:探讨血液透析动静脉内瘘术的术式选择与血管保护的方法。方法:回顾性分析2001年12月至2005年10月对84例患者分别选择鼻烟窝内瘘术(18例),腕部、前臂头静脉及桡动脉内瘘术(66例)建立动静脉内瘘的临床资料。结果:手术均一期成功,术后内瘘通畅良好。动静脉内瘘使用1～12个月,使用仍良好。7例术前因静脉、动脉穿刺损伤造成了手术困难、血管资源的浪费。结论:鼻烟窝内瘘为首选术式,对于需透析的患者实施整体规划治疗,保护血管有利于血管通路及时、顺利地建立和合理地长期使用。Objective： To analysis of surgical procedures for internal arteriovenons tlstula and protection of vascular for hemodialysis. Methods：The clinical data that 84 internal arteriovenons fistula were created, 18 cases being at the anatomical snuff-box and 66 cases in the foream from Dec. 2001 to Oct. 2005. Results： Surgery operation were successful totally, the internal arteriovenous fistulas of 84 cases were unobstrcted. The internal arteriovenous fistulas were used well from 1 month to 12 months after operation,and it is still unobstrcted. Before the operation, the blood vessels （including veins and arteries） of 7 cases were damaged, which result in the operation difficulty and vascular resources waste. Conclusions：Snuff-box arteriovenons fistula is the first choice. Planning treatment for the hemodialysis patient is advantageous to protect blood vessel,make internal arteriovenons fistula created in time and be used long term.

关 键 词：动静脉内瘘 血管 保护 

分 类 号：R651[医药卫生—外科学]