摘要
探讨降落伞式连续缝合技术(parachute-style running suture,PSRS)在桡动脉-头静脉内瘘(radio-cephalic fistu-lae,RCF)中的应用体会。回顾性分析64例应用PSRS行RCF的资料。左前臂造瘘18例,右前臂造瘘46例,其中鼻烟窝处纵切口23例,桡骨茎突上方横切口41例。手术时间45min～80min,出血5ml～30ml。所有患者术后扪及震颤,术后6周内经RCF行规律透析,血流量在220ml/min～275ml/min。术前充分评估局部血管状态、准确计算缝合针距和间距、收线时预留适当的张力、适当扩大吻合口面积、围手术期适当抗凝和保持血流动力学稳定可提高采用PSRS行RCF的成功率。
To explore the application of parachute-- style running suture （ PSRS } during end-- to-- side anastomosis for radio --cephalic fistulas（RCF）, 64 cases of uremia who admitted RCF with PSRS, and whose data were analyzed retrospectively. 18 cases who had fistulas on left forearm, and 46 cases on right forearm. Among them, 23 cases in anatomical snuff- box and 41 cases on wrist. The operating time was 45 minutes-80 minutes, and the bleeding volume was 5 ml-30 ml. All patients had palpable tremor along cephalic veins after operations. All had.routine dialysis from radio--cephalic fistulas 6 weeks after operations, and the blood volume of fistulas was 220-275ml/min 4-8 weeks. It is favorable of sufficiently assessing about local vessels, precise calculating about suture distance and pitch, preserving proper tension, enlarging anastomotic stoma, keeping anticoagulation and stable hemodynamics in order to improve the achievement ratio when have PSRS during RCF.
出处
《医学与哲学（B）》
2012年第4期29-30,共2页
Medicine & Philosophy(B)
关键词
尿毒症
动静脉瘘
连续缝合
吻合
uremia, arteriovenous fistula, running suture, anastomosis
