| 40例鼻烟窝部人工动静脉内瘘术的手术效果分析 |
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| 引用本文： | 王沂芹,柏健鹰,陈枫,唐建英,李慧,郭小霞,袁发焕. 40例鼻烟窝部人工动静脉内瘘术的手术效果分析[J]. 局解手术学杂志, 2009, 18(3) |
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| 作者姓名： | 王沂芹 柏健鹰 陈枫 唐建英 李慧 郭小霞 袁发焕 |
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| 作者单位： | 王沂芹,陈枫,唐建英,李慧,郭小霞,袁发焕,WANG Yi-qin,CHEN Feng,TANG Jian-ying,LI Hui,GUO Xiao-xia,YUAN Fa-huan(第三军医大学附属新桥医院,肾内科血液净化中心,重庆,400037);柏健鹰,BAI Jian-ying(第三军医大学附属新桥医院消化内科,重庆,400037) |
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| 摘 要： | 目的 观察40例鼻烟窝部动静脉内瘘术的效果.方法 选择腕关节下鼻烟窝部桡动脉和头静脉做为自体动静脉内瘘的吻合血管,采用外科血管缝合法或钛轮钉动静脉内瘘吻合法.结果 40例人工内瘘术中,钛轮钉动静脉内瘘吻合6例(15%),外科血管缝合法34例(85%),吻合成功率100%.术后第2天发生内瘘堵塞2例,内瘘成功率95%.结论 鼻烟窝动静脉内瘘制作简便,保留了近端血管以备重建内瘘,能满足常规血透的血流量,可以作为维持性血液透析患者的首选的永久性血管通路.
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| 关 键 词： | 血液透析 人工动静脉内瘘 鼻烟窝 |
Analysis of 40 cases with artificial arteriovenons internal fistula in nasopharyngeal fossa |
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| WANG Yi-qin,BAI Jian-ying,CHEN Feng,TANG Jian-ying,LI Hui,GUO Xiao-xia,YUAN Fa-huan. Analysis of 40 cases with artificial arteriovenons internal fistula in nasopharyngeal fossa[J]. Journal of Regional Anatomy and Operative Surgery, 2009, 18(3) |
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| Authors: | WANG Yi-qin BAI Jian-ying CHEN Feng TANG Jian-ying LI Hui GUO Xiao-xia YUAN Fa-huan |
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| Affiliation: | Blood Purification Center of Xinqiao Hospital;Third Millitary Medical University;Chongqing 400037;China |
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| Abstract: | Objective To investigate the effect of 40 cases with artificial arteriovenous internal fistula in nasopharyngeal fossa.Methods Forty artificial arteriovenous internal fistula in nasopharyngeal fossa were applied with titanium wheel nail or vessel suture.Results Among these 40 patients,6 were with titanium wheel nail and 34 were with vessel suture.All the operations of 40 cases were successful.Using the arteriovenous fistula,the blood flow volume reached the requirement of hemodialysis 4 to 6 weeks after sur... |
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| Keywords: | hemodialysis artificial arteriovenous internal fistula nasopharyngeal fossa |
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