中国血液净化

›› 2013, Vol. 12 ›› Issue (05): 0-0.

• 临床研究 •    下一篇

肱动脉-贵要静脉动静脉内瘘与人造血管动静脉移植物内瘘在长期血透患者中的应用比较

高民,汤日宁,杨金芳,刘宏,张留平,王越,刘必成   

  1. 东南大学附属中大医院，肾科，血液净化中心
  • 收稿日期:2013-01-28 修回日期:2013-02-19 出版日期:2013-05-12 发布日期:2013-07-01
  • 通讯作者: 高民 E-mail:gaomin1220@yeah.net
  • 基金资助:
    江苏省自然科学基金

Brachial-basilic arteriovenous fistula versus arteriovenous graft in vascular access for mainteinance hemodialysis patients

  • Received:2013-01-28 Revised:2013-02-19 Online:2013-05-12 Published:2013-07-01

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摘要： [摘要] 目的 比较肱动脉-贵要静脉动静脉内瘘和人造血管动静脉移植物内瘘在长期血透病人中的临床应用效果。 方法 61例复杂血管通路患者随机分组，31例建立肱动脉-贵要静脉动静脉内瘘，30例建立人造血管动静脉移植物内瘘，比较两组内瘘的3个月、1年、2年、3年的通畅率及并发症发生率。结果 肱动脉-贵要静脉动静脉内瘘1、2、3年的通畅率比人造血管移植物动静脉内瘘高，且感染和栓塞并发症少，差异均有显著性（P<0.05）。 结论 肱动脉-贵要静脉动静脉内瘘具有通畅率高、感染和栓塞发生率低的优点，优于人造血管移植物动静脉内瘘。

关键词: 动静脉内瘘, 血液透析, 肱动脉, 贵要静脉, 人造血管, arteriovenous fistula, hemodialysis, brachial artery, basilic vein, arteriovenous graft

Abstract: Abstract Objective: To compared the outcomes of autogenous brachial-basilic arteriovenous fistula (BBAVF) and AV graft (AVG) in patients undergoing long-term hemodialysis. Methods: We analyzed 61 complex patients, 30 randomized to receive AVG and 31 received BBAVF. We compared patency rates of BBAVF and AVG in 3 months, 1 year, 2years, 3years, and complication rates. Results: Patency rates of BBAVF in 1 year, 2years, 3years were higher than patency rates of AVG. The complication rates of infection and thrombosis were significantly higher for BBAVF than for AVG（P<0.05, respectively）. Conclusions: BBAVF has the advantage of a higher patency rate, a lower complicantion rates of infection and thrombosis, should be served as a favourable choice in building the vascular access in maintenance hemodialysis patients.