【摘要】 目的:探讨血液透析动静脉内瘘术的术式选择与血管保护的方法。方法:回顾性分析2001年12月至2005年10月对84例患者分别选择鼻烟窝内瘘术(18例),腕部、前臂头静脉及桡动脉内瘘术(66例)建立动静脉内瘘的临床资料。结果:手术均一期成功,术后内瘘通畅良好。动静脉内瘘使用1～12个月,使用仍良好。7例术前因静脉、动脉穿刺损伤造成了手术困难、血管资源的浪费。结论:鼻烟窝内瘘为首选术式,对于需透析的患者实施整体规划治疗,保护血管有利于血管通路及时、顺利地建立和合理地长期使用。更多还原

【Abstract】 Objective:To analysis of surgical procedures for internal arteriovenous fistula and protection of vascular for hemodialysis.Methods:The clinical data that 84 internal arteriovenous fistula were created,18 cases being at the anatomical snuff-box and 66 cases in the forearm from Dec.2001 to Oct.2005.Results:Surgery operation were successful totally,the internal arteriovenous fistulas of 84 cases were unobstrcted.The internal arteriovenous fistulas were used well from 1 month to 12 months after operation,and it is still unobstrcted.Before the operation,the blood vessels(including veins and arteries) of 7 cases were damaged,which result in the operation difficulty and vascular resources waste.Conclusions:Snuff-box arteriovenous fistula is the first choice.Planning treatment for the hemodialysis patient is advantageous to protect blood vessel?make internal arteriovenous fistula created in time and be used long term.更多还原