| 谢志娟.两种不同部位建立动静脉内瘘的比较.[J].中南医学科学杂志.,2013,41(2):181-183. |
| 两种不同部位建立动静脉内瘘的比较 |
| Comparison in Internal Arteriovenous Fistula at Different Sites |
| 投稿时间：2012-11-12 |
| DOI： |
| 中文关键词: 头静脉 桡动脉 动静脉瘘 |
| 英文关键词:cephalic vein arteria radialis arteriovenous fistula |
| 基金项目: |
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| 中文摘要: |
| 目的比较标准内瘘及鼻咽窝内瘘两种手术的临床效果。方法153例尿毒症患者，选择两种不同的手术部位，回顾性并将其分为标准造瘘组和鼻咽窝造瘘组。85例采用腕部标准造瘘即头静脉桡动脉端-侧吻合内瘘成形术，68例采用鼻咽窝造瘘；分别观察两种部位手术患者术后一次性成功率及3个月内内瘘的通畅率等。结果标准造瘘患者一次性手术成功率为96.47%，总通畅率为97.56%。鼻咽窝造瘘患者一次性成功率79.41%，总通畅率77.78%。原发病为糖尿病肾病患者的动静脉内瘘手术成功率及通畅率明显低于原发病为慢性肾炎的患者。结论标准内瘘手术操作简单、切口小、手术成功率高，术后通畅率高，而鼻咽窝内瘘手术难度大，手术成功率低，术后通畅率低。继发于糖尿病肾病的患者动静脉内瘘成形术成功率及通畅率均较低，更应注意手术指针和手术技巧的把握。 |
| 英文摘要: |
| ObjectiveTo compare the clinical effect of both achievement and three-months patency ratio of standard and nasopharyngeal fossa internal fistula.Methods153 urinemia patients were stochastically divided into standard internal fistula group and nasopharyngeal fossa internal fistula group.85 cases of the link in cephalic vein and arteria radialis internal fistula operation and 68 cases of nasopharyngeal fossa internal fistula operation were observed for single-time success rate and three-months patency ratio.ResultsThe one-time success ratio of standard internal fistula was 96.47%,the three-months patency ratio was 97.56%.The one-time success ratio of nasopharyngeal fossa internal fistula was 79.41%,the three-months patency ratio was 77.78%.The one-time success and three-months patency ratios of diabetic nephropathy patients were obviously lower than chronic glomerulonephritis patients.ConclusionThe operation of standard internal fistula is simple,with little cut,high success and patency ratio,but the operation of nasopharyngeal fossa internal fistula is difficult,with low success and patency ratio.The success ratio of arteriovenous fistula with diabetic nephropathy is lower.We should pay more attention to operation indications and operation skill. |
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