目的 探讨慢性肾衰竭患者血液透析理想的血管通路。方法 选择上海第二军医大学附属医院肾内科自1999年3月～2004年7月以来所有进行血液透析与腹膜透析的患者，对比以内瘘为血管通路的血液透析患者与以带涤沦套经隧道双腔导管为通路的血液透析患者的Kt/v值。比较以带绦沦套经隧道双腔导管为通路血液透析患者的导管相关性菌血症感染率与作卧床腹膜透析（CAPD）患者的腹膜炎感染率。结果 以内瘘为血管通路患者的Kt/v值与以带Cuff双腔导管为通路患者的Kt/v值无显著差异。以带Cuff 双腔导管为通路血液透析患者的导管相关性菌血症的感染率与CAPD患者腹膜炎的感染率无显著性差异。结论 以带涤纶套经隧道双腔导管为通路是血液透析比较理想的血管通路。

Objective To study the ideal vascular access for HD patients.Methods The Kt/v compare between useing silicone dual-lumen catheter with a Dacron cuff and arteriovenous fistula as long term vascular access for hemodialysis patients. The rate of catheter related bacteria(CRB) infections in HD patients who used silicone dual-lumen catheter with a dacron cuff as a long-term vascular access and the peritonitis rate in CAPD patients were compared. Results There was no difference of the Kt/v between using silicone dual-lumen catheter with a Dacron cuff and arteriovenous fistula for HD patients. The rate of CRB in HD patients who used silicone duallumen catheter with a Dacron cuff and the peritonitis rate in CAPD patients had no significant difference. Conclusion Silicone dual-lumen catheter with a Dacron cuff as a long-term vascular access for HD patients is an ideal vascular access.