中国血液净化

›› 2004, Vol. 3 ›› Issue (1): 9-11.

• 论著 • 上一篇    下一篇

梯形对称二等分叶小血管吻合法在动静脉内瘘术中的应用

冯亚高 魏军祥 梁保中 李庆周   

  1. 071000 保定，河北省保定市解放军二五二医院骨科 (冯亚高，魏军祥)透析室 (梁保中，李庆周)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2004-01-19 发布日期:2004-01-19

  • Received:1900-01-01 Revised:1900-01-01 Online:2004-01-19 Published:2004-01-19

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摘要： 目的 探讨应用梯形对称二等分叶小血管吻合法施行头静脉桡动脉内瘘手术的临床效果。 方法 门诊采用梯形对称二等分叶法吻合头静脉桡动脉形成内瘘44例。结果 术后44例中42例内瘘通畅良好，1例因术后血管危象而失败行二次手术后内瘘通畅，1例因血流量不足放弃使用，42例使用良好。动静脉内瘘使用3～28个月，最多已穿刺达200余次，内瘘使用仍良好。结论 采用梯形对称二等分叶法吻合头静脉桡动脉建立内瘘术，操作简便，吻合速度快，成功率高，效果满意，并发症少，是建立长期血液透析通路的理想方法。

关键词: 梯形分叶, 小血管吻合法, 动静脉内瘘, 手术

Abstract:

Objective To investigate the clinical effect of radiocephalic arteriovenous internal fistulas created by anastomosis with two trapezoid and symmetrical lobulated flap. Methods Fourty-four cases were performed operation of anastomosis with two trapezoid and symmetrical lobulated flap in outpatient department. Results The internal arteriovenous fistulas of 42 cases were unobstructed, one fistula obstructed because of vessel crisis, but the second operation was successful. Another fistula was discard because of low blood flow. In 42 cases, the internal arteriovenous fistulas were used well from 3 months to 28 months after operation, and one fistula was punctured 200 times, and it is still unobstructed. Conclusion Anastomosis with two trapezoid and symmetrical lobulated flap for creating internal arteriovenous fistulas is an optional method for maintenance hemodialysis. It decreased the operative time, and improved success rate of internal arteriovenous fistulas.

Key words: Blood vessel anastomosis, Internal arteriovenous fistula, Operation

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