摘要
目的通过研究证实,鼻咽壶切口动静脉内瘘可以作为首选术式应用。方法60例尿毒症患者随机分为两组各30例,一组采用鼻咽壶切口,另一组采用前臂桡侧切口,根据血管情况决定采取端—端或端—侧吻合。术后通过Fresenius血液透析机及超声诊断仪对两组术式进行临床血液透析疗效对比观察:术后2、4、6、8周,对机-血管通路评价:①通路流量(透析时每分钟过血量、多普勒流量超声);②压力(动态的静脉和泵前压力);③物理检查(通路再循环以尿素为基础稀释技术Kt/v不可解释的降低)相应参数等主要技术指标进行比较分析,得出结论。结果鼻咽壶切口、前臂桡侧切口动静脉内瘘,临床效果无显著差异。结论鼻咽壶切口为血液透析又多提供一种满意的方法,并且可以作为首选术式应用。
Objective Stubies confirm that the anatomical snuff- box may be first - chosen the application of operation. Methods 60 cases of the patients with uraemia were put in two groups with 30 people in each other. The first group being at the anatomical snuff- box, the second group being in the forearm. According to blood vessel conditions, by jointing end to end or end to side. After operating, Fresenius, hemodialysis- instrument and B type compared and observed the effectivit of the two kinds hemodialysis. After 2.4.6.8 weeks, to value blood vessel passageway to conpared and analysed passageway runoff; presure; physical test, relative parameter and so on. Results The effectivitys of the anatomical snuff- box and the forearm have not different obviously. Conclusion The anatomical snuff- box is a satisfied method to Hemodialysis and may be first - chosen the application of operation.
出处
《黑龙江医学》
2007年第3期177-179,共3页
Heilongjiang Medical Journal
关键词
动静脉内瘘
血液透析
Arteriovenous fistula
Hemodialysis
