摘要
目的 探讨老年尿毒症患者建立鼻烟窝自体动静脉内瘘的临床特点。方法 比较老年和青年尿毒症患者建立鼻烟窝自体动静脉内瘘应用于血液透析的临床疗效。结果 本组232例鼻烟窝动静脉内瘘中，老年鼻烟窝动静脉内瘘为104例(44.8％)，青年鼻烟窝动静脉内瘘为128例(55.2％)；两组患者的平均血管吻合口内径，透析时的平均血流量，内瘘的平均成熟时间，内瘘用于透析的平均时间，内瘘1个月、1年、2年和3年通畅率，血栓形成、动脉瘤、肿胀手综合征和窃血综合征的发生率均无显著差异。结论 自体鼻烟窝动静脉内瘘为老年尿毒症血液透析患者的最佳选择之一，值得推广。
Abstract
Objective To investigate the clinical character of snuffbox arteriovenous fistula(SAV)in hemodialysis patients. Methods To compare the clinical effect of SAV between the elderly and young hemodialysis patients. Results In 232 cases of SAV, 104 cases(44.8％) were elderly hemodialysis patients(EHP) and 128 cases (55.2%) were young hemodialysis patients (YHP) there were no significance between EHP and YHP with the diameter of the anasto mosis sift, mean of blood flow, mean time to mature, average time of hemodialysis, the patency rate of 4 weeks, 1, 2 and 3 years, the incidence rates of thrombosis，aneurysm，swelled hand syndrome and steal phenomenon. Conclusion The SAV is one of the best choice for elderly and young hemodialysis patients.
关键词
动静脉内瘘 /
鼻烟窝 /
前臂 /
血液透析
Key words
Snuffbox /
Forearm /
Hemodialysis
汪年松 乔 勇 俞 岗 崔勇平 王 锋 范 瑛.
老年尿毒症患者建立鼻烟窝动静脉内瘘应用于血液透析的临床研究[J]. 中国血液净化. 2005, 4(7): 363-365
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