腕部桡动脉-头静脉改良侧侧吻合法应用于血液透析动静脉瘘二次手术的临床效果

Clinical Effect of Modified Side-to-Side Anastomosis of Wrist Radial Artery and Cephalic Vein in the Secondary Operation on the Patients with Hemodialysis Arteriovenous Fistula

目的分析腕部桡动脉-头静脉改良侧侧吻合法应用于血透动静脉瘘二次手术的效果。方法选取40例动静脉瘘二次手术患者的临床资料展开回顾性分析,分为观察组(腕部桡动脉-头静脉改良侧侧吻合法,n=21)和对照组(传统头静脉桡动脉吻合,n=19)。对比两组手术指标和并发症。结果与对照组比较,观察组吻合时间降低,内瘘通畅率增高(P<0.05)。两组并发症发生率无显著差异(14.29%vs 26.32%,P>0.05)。结论腕部桡动脉-头静脉改良侧侧吻合法在血透动静脉瘘二次手术的价值较高。

Objective This paper aims to analyze the effect of modified side-to-side anastomosis of wrist radial artery and cephalic vein in the secondary operation on the patients with hemodialysis arteriovenous fistula.Methods The clinical data of 40 patients with arteriovenous fistula undergoing secondary operation were retrospectively analyzed and divided into observation group(wrist radial artery-cephalic vein modified side-to-side anastomosis,n=21)and control group(traditional cephalic vein radial artery anastomosis,n=19).The operative indexes and complications were compared between the two groups.Results Compared with the control group,the anastomotic time in the observation group decreased and the patency rate of internal fistula increased(P<0.05).There was no significant difference in the incidence of complications between the two groups(14.29%vs 26.32%,P>0.05).Conclusion The modified side-to-side anastomosis of wrist radial artery and cephalic vein is of high value in the secondary operation of hemodialysis arteriovenous fistula.