中国血液净化

中国血液净化 ›› 2022, Vol. 21 ›› Issue (04): 280-283.doi: 10.3969/j.issn.1671-4091.2022.04.013

• 综述 • 上一篇    下一篇

血管表浅化在动静脉内瘘中的应用

杨杰1   

  1. 1陆军军医大学大坪医院特色医学中心肾内科
  • 收稿日期:2021-10-29 修回日期:2021-12-27 出版日期:2022-04-12 发布日期:2022-04-07
  • 通讯作者: 杨杰 1027228293@qq.com E-mail:1027228293@qq.com
  • 基金资助:
    重庆市社会民生课题(cstc2018jscx-msybX0013)

Application of vascular superficialization in arteriovenous fistula

Yang Jie   

  1. 1Department of Nephrology, Daping Hospital, Army Medical University, Chongqing 400042, China
  • Received:2021-10-29 Revised:2021-12-27 Online:2022-04-12 Published:2022-04-07
  • Contact: Yang Jie E-mail:1027228293@qq.com

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摘要： 【摘要】血管表浅化是应用各种手术方式把目标血管置于皮下浅层，能够进行常规穿刺供透析使用的一类技术，包括静脉表浅化和动脉表浅化，根据方法又可分为隧道转位、直接抬高、小切口表浅化技术(minimal incision superficialization technique，MIST)、静脉窗导穿刺器(venous window needle guide，V-WING)的置入、脂肪切除及抽脂术等。本文对上述表浅化技术要点进行详细描述，对相关临床研究报道的通畅率及并发症进行分析，以便指导临床更好的开展这项技术。

关键词: 动静脉内瘘, 表浅化, 血液透析, 血管通路

Abstract: 【Abstract】Vascular superficialization is a surgical operation that places target vessel to the subcutaneous layer. It includes vein superficialization and artery superficialization, which enable hemodialysis access using routine puncture. The methods of vascular superficialization operation include tunnel transposition, direct elevation, minimal incision superficialization technology (MIST), placement of vein window needle guide (Vwing), fat resection and liposuction and others. In this paper, the key points of these surgical methods are described in detail, and the clinical reports about patency rate and complications are reviewed.

Key words: Arteriovenous fistula, Superficialization, Hemodialysis, Vascular access

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