维持性血液透析患者连续缝合动静内瘘术24例分析  

Analysis on 24 cases of maintenance hemodialysis patients receiving continuous arteriovenous fistula suture

作　　者：刘珂[1] 王元中[1] 

机构地区：[1]重庆市中山医院肾内科泌尿科,重庆400013

出　　处：《四川医学》2012年第6期1057-1059,共3页Sichuan Medical Journal

摘　　要：目的观察头静脉-桡动脉端侧连续缝合建立内瘘手术在维持性血液透析患者的临床效果。方法总结我科2009年1月～2011年12月行头静脉-桡动脉端侧连续缝合建立内瘘手术患者资料。结果 24例维持性血液透析患者头静脉-桡动脉端侧连续缝合建立内瘘手术一次成功,内瘘成熟时间平均4周,血流量均达到200～250ml/min,临床效果显著,无明显并发症。结论维持性血液透析患者头静脉-桡动脉端侧连续缝合建立内瘘手术操作简单,成功率高,并发症少,是值得推广的一种建立长期血液透析通路的方法。Objective To observe the clinical effects of fistula operations established by continuous suture of end-to-side radial artery-cephalic vein on maintenance hemodialysis patients.Methods The information of patients,who received fistula operations established by continuous suture of end-to-side radial artery-cephalic vein in the author＇s department between Jan 2009 and Dec 2011,was collected and summarized.Results 24 patients of maintenance hemodialysis all received fistula operations established by continuous suture of end-to-side radial artery-cephalic vein successfully.The average maturation time of internal fistula was 4 weeks,and the blood flow reached up to 200-250ml/min.The clinical effects were remarkable and there were no complications.Conclusion Fistula operations established by continuous suture of end-to-side radial artery-cephalic vein are simple to operate and have advantages of high success rate and fewer complications.This operation is a good method to establish long-term vascular access for hemodialysis patients and worth to spread.

关 键 词：维持性血液透析 连续缝合 内瘘 

分 类 号：R459.5[医药卫生—治疗学]