老年糖尿病慢性肾衰患者内瘘改良术式探讨  

The exploration on the modification of internal fistula operation in the aged diabetes patients with CRF

作　　者：孙昉[1] 童宗武[1] 晋仲宁[1] 孙阳[1] 高秀芳[1] 

机构地区：[1]玉溪市人民医院肾内科,云南玉溪653100

出　　处：《云南医药》2008年第4期337-339,共3页Medicine and Pharmacy of Yunnan

摘　　要：目的探讨老年糖尿病慢性肾衰患者进行动静脉内瘘手术的方法及临床效果。方法对22例老年糖尿病慢性肾衰患者根据血管条件,应用改良的端侧、端端吻合方法分别行前臂动静脉内瘘术建立长期血管通路。结果22例病人手术后均1次成功,术后2d～8周使用动静脉内瘘,都达到血透血流量要求。结论应用改良的端侧吻合,端端吻合方法,建立长期血管通路,可适当的增大吻合口,防止血栓的形成,提高老年糖尿病慢性肾衰患者内瘘手术的成功率。Objective To explore the operation method and its clinical effect on arteriovenous fistula in the CRF aged patients of diabetes. Methods According to the vascular conditions,22 aged diabetes patients with CRF were operated with the ameliorated surgery of end to side and end to end anastomosis to make forearms arteriovenous fistula to establish permanent vascular accesses. Results All the operations of 22 cases were successful. Using the arteriovenous fistula, the blood flow volume reached the requirement of hemodialysis 2 days to 8 weeks after surgical procedure. Conclusion Using ameliorated end to side and end to end anastomosis（for preventing the formation of thrombus）, the permanent vascular accesses can improve the success rate of internal fistula operation in the aged diabetes patients with CRF.

关 键 词：糖尿病肾病 动静脉内瘘术式 

分 类 号：R589.1[医药卫生—内分泌]