【摘要】目的 总结血液透析患者患肢肿胀的诊断、治疗经验。 方法 89例动静脉内瘘手术后出现肿胀手综合征的患者，经手术结扎分支，缝线套收紧主干，支架植入、甚至关闭内瘘。结果 89例患者经治疗后均消肿。结论 对于肿胀手综合征患者常规物理检查加手术结扎处理是最好的方法。如的确存在深静脉狭窄或血栓，减少内瘘口冲力后仍不能消肿，关闭内瘘比放支架或球囊扩张更实惠。

Abstract Purpose The experience of diagnosis and treatment of hemodialysis patients’ affected extremities edema was summarized. Method After the internal arteriovenous fistula operation, there were 89 patients suffered from edema-hand syndrome, who had to make branches ligated by an operation, have boles frapped by suture set, make braces implanted, even internal fistula shut. Result The edema of hands disappeared in 89 patients after treatment. Conclusion It is a best way for edema-hand syndrome patients to take routine physical examinations and ligate branches by an operation. If there was deep phlebostenosis or thrombus, and reducing impulse of internal orificium fistulae still couldn’t make the edema disappeared, it would be more beneficial to shut the internal fistula down than to implant braces, or expand saccules. Key words: Hemodialysis，Edema-hand syndrome, Operation, Ligating- branch braces