摘要
【目的】比较不同动静脉内瘘成形手术（AVF术）方法及手术相关技巧，评估术后瘘管通畅率。【方法】回顾性分析290例前臂AVF术患者的临床资料，其中自体AVF术279例，自体静脉移植AVF术及人工血管植入AVF术11例。采取端一侧或侧一侧吻合术216例；端一端吻合术74例。【结果】采取端一侧或侧一侧吻合术术后通畅率（97．6％）与端一端吻合术术后通畅率（97．2％），相比差异无显著性（P〉0．05），术后3个月通畅率（94．4Vo）明显高于端一端吻合术（87．8％），且差异有显著性（P〈0．05）；人工血管植入AVF术后及术后3月通畅率达100％。【结论】前臂AVF术采取端一侧或侧一侧吻合术是首选方法，对无自体血管吻合条件的患者采取前臂自体静脉或人工血管植入AVF术可以作为首选替代方法。
[Objective] To compare the different methods of arteriovenous fistula（AVF） surgery and concerned operative skills, and to evaluate the postoperative patency rate of AVF. [Methods] The clinical data of 296 cases undergoing forearm AVF surgery were analyzed retrospectively. Among them, 279 cases underwent autogenous AVF surgery, and 11 cases underwent autogenous vein graft, and 6 cases underwent vascular prosthesis implantation. End-to-side（ETS） or sid-to-side（STS） anastomosis was performed for 216 cases, while end-to-end（ETE） anastomosis was performed for 74 cases. [Results] The postoperative patency rate of ETS or STS and ETE anastomosis was 97.6% and 97; 2%, respectively, and there was no significant difference（ P 〉0.05）. The patency rate of ETS or STS anastomosis 3 months after operation was 94.4% which was obviously higher than that of ETE anastomosis（87.8%）, and there was significant difference（p〈0.05）. The patency rate of AVF with vascular prosthesis implantation after operation and 3 months after operation was 100%. [Conclusion] ETS or STS anastomosis is the preferred method for forearm AVF operation. AVF with autogenous vein graft or vascular prosthesis implantation can be as the preferred operative methods for pa tients without appropriate autogenous vessel for anastomosis.
出处
《医学临床研究》
CAS
2011年第1期81-82,86,共3页
Journal of Clinical Research
关键词
动静脉瘘/外科学
吻合术
外科
arterlovenous hstula/SU
anastomosis, surgical
