前臂动静脉内瘘吻合术105例临床分析

目的：分析血液透析用前臂动静脉内瘘吻合手术经验，提高建立理想血管通路的成功率。方法：回顾性分析本院肾内科于1999年7月-2006年12月105例血液透析患者行内瘘吻合手术的临床资料，应用单因素方差分析和χ^2检验，统计并比较直视下钛轮钉吻合法，显微镜下端端吻合法及显微镜下端侧吻合法的手术时间和2年内瘘通畅率。结果：3组在手术时间上差异无显著性。2年内瘘通畅率分别为钛轮钉吻合法74．3％．端端吻合法88．6％，端侧吻合法达94．2％，组间比较差异有显著性（P〈0．05）。结论：前臂端侧吻合是动静脉内瘘的首选方法。

Review of 105 Cases of Forearm Arteriovenous Fistula

Objective：To summarize the experience of hemodialysis of forearm arteriovenous fistula for improving the procedure of setting up proper vascular route. Methods ：105 hemodialysis cases set up forearm arteriovenous fistula from Jul. 1999 to Dec 2006 were studied retrospectively. The operation time and lucid rate over 2 years were statistically analyzed in fistula of titanium nail, fistula of end-end anastomosis and fistula of end-side anastomosis. Results：There were no significant difference at 3 groups＇ operative time. In fistula of titanium nail, the lucid rate was 74.3% over 2 years. In fistula of end-end anastomosis,the lucid rate was 88.6% over 2 years. In fistula of end-side anastomosis,the lucid rate was 94.2% over 2 years. There were significant difference at 3 groups comparison each other（ P 〈 0.05 ）. Conclusion ： The forearm end-side anastomosis is first-chosen the application of operation.