血液透析行前臂小血管吻合85例临床总结

Clinical evatuation of arteriorenons anastomosis in the forearm for 85 hemodialysis cases

本文报道１９９２年６月至１９９７年１月５年间，８５例次血液透析患者行前臂小血管吻合内瘘术的情况，其中３１例行侧侧吻合，２９例行端侧吻合，２５例行端端吻合，吻合血管均为桡动脉与头静脉，成功率分别为９３．５％，８２．８％，９２．０％，血流量１５０～３００ｍｌ／ｍｉｎ。结果表明，侧侧、端端吻合成功率比端侧吻合高，且并发症少，侧侧吻合血流达标量要优于其它吻合法。

85 hemodialytic cases with arteriorenous anastomosis from 1992 to 1997 are reported.We chose radical artery and cephalic rein as anastomotic vessles.Among of them,31 cases wire performed with side side to side anastomosis 29 cases sith end to side anastomosis and 25 cases weth end to end anastomosis.The resvtts show tthat the success rate are 93 5% 82 8% and 92 0% .The volume of blood flow per minute is about 150-300ml.From mentioned we can see that not only the success rate of side to side and end to end anastomosis is higher than that of end to side,but also the complicotions are few.Furthermore,the blood flow of side to side anastomosis is higher thon the other ores.