鼻烟窝内瘘在老年血透患者中的临床应用  

Clinical application of snuffbox arteriovenous fistula in old age hemodialysis patients

作　　者：刘春[1] 周泽梅[1] 余慰[1] 彭献代[1] 

机构地区：[1]重庆市第三人民医院肾内科,400014

出　　处：《重庆医学》2007年第15期1516-1517,共2页Chongqing medicine

摘　　要：目的探讨老年尿毒症患者应用鼻烟窝动静脉内瘘行维持性血液透析的优势。方法采用缝合方式对46例老年慢性肾功能衰竭血液透析患者行动静脉内瘘术,分别为鼻烟窝部23例,前臂远端腕部23例,比较两组内瘘成熟时间、血流量、近远期通畅率及并发症等。结果两组在内瘘成熟时间、血流量、近远期通畅率及并发症差异无统计学意义(P>0.05)。结论鼻烟窝动静脉内瘘制作简便、远期通畅率高、并发症少,保留了近端血管可以在腕部再建标准内瘘,是老年尿毒症患者首选的永久性血管通路。Objective To study the predominance of clinical application with snuffbox arteriovenous fistula in old age uremia maintenance hemodlalysis patients. Methods Forty-six old age hemodialysis patients were operated arteriovenous fistulas by suturing, 23 patients at anatomical snuffbox and the other 23 ones at wrist of distal forearm. To compare the time of fistula mature, the volume of blood flow, the free circulation rate of short-term and long-term, and complications between two groups. Results There were no significant differences in two groups on the time of fistula maturity, the volume of blood flow, the free circulation rate of short-term and long-term,and complications （P 〈 0.05）. Conclusion Snuffbox fistula has many merits,such as performing easily, having a higher long-term free circulation rate,fewer complications, and preserving the proximal blood vessesls for reconstructing standard fistula, so it is the most advisable permanent vascular access in old age uremia patients.

关 键 词：动静脉内瘘 鼻烟窝 血液透析 慢性肾功能不全 

分 类 号：R692.5[医药卫生—泌尿科学] R765[医药卫生—外科学]