机能型端侧吻合与传统端侧吻合在建立动静脉内瘘术中的差异

The differences between functional end-to-side anastomosis and traditional end-to-side anastomosis in the establishment of arteriovenous fistula surgery

目的探讨机能性端侧吻合和传统端侧吻合在静脉内瘘术中的应用差异。方法在2013年12月至2015年7月期间本院收治的慢性肾衰长期血液透析患者120例，采用随机数字表法将其分为观察A组和观察B组，其中观察A组采用机能性端侧吻合实施动静脉内瘘成形术，观察B组采用传统端侧吻合实施动静脉内瘘成形术，对两组患者的手术成功率及其瘘管畅通率进行观察分析。结果两组患者的手术成功率和术后通畅率并无统计学差异（P〉0．05），但观察A组患者的吻合时间[（21．2±6．3）min]及术后并发症发生率（3．33％）明显优于观察B组[（27．8±5．9）min,15．00％]，差异有统计学意义（P〈0．05）。结论采用机能性端侧吻合进行动静脉内瘘建立，可有效简化手术，缩短手术时间，在保证通畅率和手术成功率的同时可有效降低术后并发症发生率，有利于减轻患者痛苦，保证血液透析的顺利进行。

Objective To explore the differences between functional end-to-side anastomosis and traditional end-to-side anastomosis in the establishment of arteriovenous fistula surgery. Methods 120 patients with chronic renal failure undergoing long-term hemodialysis admitted to our hospital from December 2013 to July 2015 were divided into group A and group B according to the random number table. Group A underwent arteriovenous fistula surgery with functional end-to-side anastomosis, while group B underwent arteriovenous fistula surgery with traditional end-to-side anastomosis. The surgical success rate and fistula unimpeded rate of the two groups were observed and analyzed. Results There were no statistically significant differences in the surgical success rate and fistula unimpeded rate between the two groups （P〉0.05）. The time of anastomosis and the incidence of postoperative complications in group A [（21.2±6.3）min, 3.33%] were significantly better than those in group B [（27.8±5.9）min, 15.00%], with statistically significant differences （P〈0.05）. Conclusions The application of functional end-to-side anastomosis in the establishment of arteriovenous fistula surgery can effectively simplify surgery, shorten operative time, effectively reduce the incidence of postoperative complications on the premise of ensuring the surgical success rate and fistula unimpeded rate, will help reduce the suffering of patients, ensure blood dialysis smooth.