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目的探讨钛轮钉建立动静脉内瘘在血液透析中的应用。方法总结本院2006年至2008年对终末期肾病患者施行动静脉内瘘手术24例,采用钛轮钉端端吻合建立动静脉内瘘的体会。结果钛轮钉端端吻合建立的动静脉内瘘成功率100%,无1例出现动脉瘤、肢端缺血性坏死、低流量、感觉异常、功能受限、局部肿胀等并发症。结论钛轮钉建立动静脉内瘘用于血液透析患者透析流量满意,效果良好,手术简单,值得临床推广。
Objective To investigate the application of titanium wheel nail in the establishment of arteriovenous fistula in hemodialysis. Methods Summary of hospital from 2006 to 2008 in patients with end-stage renal disease arteriovenous fistula surgery 24 cases, the use of titanium wheel nail anastomosis to establish the experience of arteriovenous fistula. Results The successful rate of arteriovenous fistula established by anastomosis of titanium wheel nail was 100%. No aneurysm, ischemic necrosis of the extremity, low flow, abnormal sensation, limited function and local swelling were found in 1 case. Conclusion The establishment of arteriovenous fistula with titanium wheel nail for hemodialysis patients with satisfactory dialysis flow, the effect is good, the operation is simple and worthy of clinical promotion.