腕“鼻烟窝”部动静脉内瘘在血液透析中的临床研究

Clinical application study with snuffbox axteriovenous fistula for hemodialysis

目的探讨鼻烟窝动静脉内瘘在维持性血液透析中的临床应用.方法采用显微外科技术对101例慢性肾功能衰竭血液透析患者行直接动静脉内瘘术.结果 101例手术无1例失败,其穿刺使用率为97.8%,透析血流量达180～250ml/min.结论鼻烟窝动静脉内瘘制作简便,远期通畅率高,并发症少,是血液透析最佳的永久性血管通路.

Objective To evaluate the clinical application of snuffbox arteriovenous fistula in maintenance hem dialysis. Methods One hundred and one-direct in thermal arteriovenous fistulas for hem dialysis patients with chronic renal failure were established under microsurgery. Results We have done 101 operations, which were all successful, the rate of usage is 97.8%, the fistula＇ s flow capacity was up to 180 -250ml/min. Conclusion Performing easily, having a better long-term patency rate and fewer complications, the snuffbox arteriovenous fistula is the most advisable permanent vascular access in hemodialysis.