【摘要】 上肢血管资源耗竭和(或)中心静脉狭窄或闭塞，使维持性血液透析患者在传统部位建立动静脉内瘘面临困境和挑战。下肢自体动静脉内瘘作为替代性的血管通路类型，尚未得到足够的关注和重视。本文系统总结了下肢自体动静脉内瘘的临床开展情况及新进展，比较了下肢自体动静脉内瘘和下肢人工血管内瘘在通畅率和并发症等方面的差异，并在患者选择和手术技术改进方面提出了建议，旨在为制定个体化的血管通路临床决策提供参考和帮助。更多还原

【Abstract】 Exhaustion of upper limb vascular resources and/or central venous stenosis or occlusion makes maintenance hemodialysis patients face difficulties in establishing arteriovenous fistula(AVF) at traditional sites. As an alternative vascular access, lower limb autologous AVFs have not yet received sufficient attention. This article systematically reviews the clinical application and recent progress of lower limb AVFs. It compares the differences in patency rates and complications between lower limb autologous AVFs and prosthetic grafts, provides recommendations on patient selection and technical improvements, and aims to provide references for formulating individualized clinical decisions on vascular access.更多还原