摘要
目的评估两种不同缝合术对动静脉内瘘成形术的手术成功率及瘘管年通畅率,总结治疗经验,以期进一步提高手术效果。方法回顾性分析我院5年来380例前臂桡动脉一头静脉内瘘成形术患者的临床资料,比较间断及连续动静脉吻合术对手术成功率及瘘管年通畅率的影响并作统计学分析。结果两种缝合术对一次手术成功率明显影响,间断缝合术瘘管1年通畅率好于连续缝合术。而性别、年龄、肾功能等因素对手术成功率及瘘管年通畅率均无影响,缝合方式、血管本身条件、血管吻合技术是导致手术失败及瘘管闭塞的重要影响因素。结论间断缝合术因为良好的吻合口径而优于连续缝合术,应作为动静脉内瘘血管吻合方式的首选。
Objective To analyze the influencing factors of different suture technique on success rate and year patency rate of radial artery-cephalic vein arteriovenous fistula. Methods Totally 380 chronic renal failure patients underwent radial artery-cephalic vein arteriovenous shunt for hemodialysis during 5 years. Their data were retrospectively analyzed to investigate the influence of continuous suture and discontinuous suture on the success rate and year patency rate of the fistula. Results Significant difference in the operation success rate was found by continuous and discontinuous suture. The year patency rate by discontinuous suture was better than that by continuous suture. Both operation success rate and year patency rate were not related to sex, age, or kidney function. Anastomotic methods, condition of blood vessel and anastomotic technique were important factors that decide the operative failure and fistula occlusion. Conclusion Correct selection of suture technique is of key importance for both operation success and maintenance of year patency of radial artery-cephalic vein arteriovenous fistula. Discontinuous suture should the first choice.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2008年第11期1082-1084,共3页
Journal of Third Military Medical University
关键词
透析
动静脉内瘘
缝合术
hemodialysis
arteriovenous fistula
suture technique
