摘要
目的探究血液透析患者进行不同动静脉内瘘术式的效果。方法整群选取对该院2012年1月—2016年5月期间收治的52例血透患者动静脉内瘘术式进行回顾性分析。结果发现其中吻合口的直径和血流量差异有统计学意义,均为端侧吻合术较优,端侧吻合术吻合口的直径、血流量依次为(6.03±0.29)mm、(743.20±152.70)m L/min,优于端端吻合术的(4.66±0.71)mm和(545.90±132.70)m L/min(P<0.05);手术成功率和内瘘的成熟时间差异无统计学意义。端侧吻合术并发症6.67%明显较低(端端吻合术为18.18%),差异有统计学意义(P<0.05)。结论端侧吻合术的整体情况优于端端吻合术,因此值得在血液透析患者进行动静脉内瘘手术的过程中优先考虑。
Objective To explore the hemodialysis patients with arteriovenous fistula on the effect of different animals, summarize the clinical experience. Methods Group selection 52 cases of hemodialysis patients with arteriovenous fistula were retrospectively analyzed. Results Found significant differences in the anastomotic diameter and blood flow were the better side anastomosis, end to side anastomosis direct export The diameter, blood flow were（6.03±0.29）mm、（743.20±152.70）m L/min,better than the end to end anastomosis（4.66±0.71）mm and（545.90±132.70）m L/min, the difference was statistically significant（P0.05）; the mature time of the surgical success rate and fistula were not significantly different. End to side anastomosis and in 6.67% was significantly lower（end to end anastomosis was 18.18%）, the difference was statistically significant（P 〈0.05）. Conclusion End side anastomosis of the overall situation is better than that of end to end anastomosis, therefore worth in hemodialysis patients into action in the process of internal fistula surgery is preferred.
出处
《中外医疗》
2016年第36期37-39,共3页
China & Foreign Medical Treatment
关键词
血透患者
动静脉内瘘
术式
Hemodialysis patients
Arteriovenous fistula
Operation
