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目的:探讨前臂人工动静脉内瘘术的成功率。方法:回顾性分析135例患者动静脉内瘘术的成功经验,比较在显微镜下和裸视下操作动静脉内瘘术的差异。结果本组135例患者中,总体成功率94.8%(128/135),失败率5.2%(7/135)。显微镜操作51例成功率96.1%(49/51),失败率3.9%(2/51),裸视操作下84例成功率94.0%(79/84),失败率6.0%(5/84);两者比较差异无统计学意义。结论人工动静脉内瘘术的成功需要仔细全面的术前评估,手术部位选择,吻合口大小,缝合技术,及时有效的术后管理和并发症的处置。应用显微镜和裸视操作下比较动静脉内瘘术,差异无统计学意义。
Objective: To investigate the success rate of artificial arteriovenous fistula in forearm. Methods: The successful experience of arteriovenous fistula in 135 patients was retrospectively analyzed. The difference of arteriovenous fistula operation under the microscope and under the naked eye was compared. Results The 135 patients in this group, the overall success rate was 94.8% (128/135), the failure rate of 5.2% (7/135). The success rate of microscope operation in 51 cases was 96.1% (49/51), the failure rate was 3.9% (2/51), the success rate of 84 cases was 94.0% (79/84) in naked operation, the failure rate was 6.0% (5/84). The difference between the two was not statistically significant. Conclusion The success of artificial arteriovenous fistula requires careful and comprehensive preoperative assessment, choice of surgical site, anastomotic size, suture technique, timely and effective postoperative management and management of complications. Application of microscopic and autopsy operation arteriovenous fistula surgery, the difference was not statistically significant.