直行式大隐静脉-股浅动脉自体瘘的构建及其透析疗效分析

Straight line saphenous vein-the construction of autologous hernia of superficial femoral artery and its dialysis effect analysis

目的探讨直行式大隐静脉-股浅动脉自体瘘(GSV-SFA AVF)的构建并分析其血液透析疗效。方法回顾性分析15例以GSV-SFA AVF构建下肢透析通路患者的病例资料以及随访结果。结果本组病例手术成功率100%,手术切口并发症发生率为6.7%,6周瘘管成熟率93.3%,1年初期通畅率为86.7%,2年初期通畅率73.3%,2年次级通畅率93.3%,未出现感染及肢体缺血并发症。结论 GSV-SFA AVF术式围手术期指标及2年随访结果满意,说明该术式在临床上具备一定的可行性和实用性,值得推广。

Objective To introduce the straight autologous fistula of great saphenous vein to distal superficial femoral artery and analyze its hemodialysis effect. Methods A retrospective analysis of 15 cases of patients with lower extremity dialysis access with the saphenous vein and superficial femoral artery was performed to analyze the case data and follow-up results. Results In this group, the success rate of operation was 100%, the incidence ratio of surgical incision complications was 6.7%, the fistula mature rate of 6-week was 93.3%, the primary patency rate of the first year was 86.7%, 73.3% of 2 years, and the second patency rate of 2 years was 93.3%. Conclusion The results of 2 years followup of this group were satisfactory, which indicated that the straight autologous fistula of great saphenous vein to distal superficial femoral artery was clinically feasible and effective to hemodialysis procedure, certain patients will benefit from this surgery.