血液透析患者自体血管内瘘建立中改良式动静脉端侧吻合术的实践应用  

Practical application of modified arteriovenous end-to-side anastomosis in the establishment of autologous vascular fistula in hemodialysis patients

作　　者：任波 REN Bo(the Hospital of Chenggu County, Hanzhong 723200, China)

机构地区：[1]城固县医院,陕西汉中723200

出　　处：《临床医学研究与实践》2018年第19期58-59,共2页Clinical Research and Practice

摘　　要：目的探讨血液透析患者自体血管内瘘建立中改良式动静脉端侧吻合术的应用效果。方法回顾性分析我院收治的自体血管内瘘建立中分别采用常规动静脉端侧吻合术(常规组)和改良式动静脉端侧吻合术(改良组)的血液透析患者的临床资料,各60例。对比两组手术效果。结果改良组一次成功率、通畅率及失功率优于常规组(P<0.05);改良组吻合时间、成熟时间短于常规组(P<0.05);改良组早期血栓、吻合口狭窄和并发症总发生率均低于常规组(P<0.05);两组患者对手术的满意度分布及总满意率有显著差异(P<0.05)。结论血液透析患者自体血管内瘘建立中建议采用改良式动静脉端侧吻合术,其效果理想,吻合和成熟快,并发症少,患者满意度高。Objective To explore the effect of modified arteriovenous end-to-side anastomosis in the establishment of autologous vascular fistula in hemodialysis patients. Methods The clinical data of hemodialysis patients treated with conventional arteriovenous end-to-side anastomosis（routine group） and modified arteriovenous end-to-side anastomosis（modified group）were retrospectively analyzed, with 60 cases in each group. The surgical results between the two groups were compared. Results The primary success rate, patency rate and loss power rate of the modified group were better than those of the routine group（P〈0.05）. The anastomotic time and maturation time in the modified group were shorter than those in the routine group（P〈0.05）.The incidence of early thrombosis and anastomotic stenosis, total incidence of complications in the modified group were lower than those in the routine group（P 〈0.05）. There were significant differences in the distribution of satisfaction and total satisfaction rate between the two groups（P 〈0.05）. Conclusion It is suggested that modified arteriovenous end-to-side anastomosis is recommended for the establishment of autologous intravascular fistula in hemodialysis patients. The effect is ideal, with fast anastomosis and maturation, fewer complications and high patient satisfaction.

关 键 词：血液透析 自体血管内瘘 改良式动静脉端侧吻合术 

分 类 号：R692.5[医药卫生—泌尿科学]