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目的:探讨供血液透析使用的动静脉内瘘术的切口选择、手术方式及显微血管吻合操作技术。方法:收集54例动静脉内瘘术,根据不同身体状况、血管条件采用不同的手术切口及手术方式,并应用改进的显微血管吻合操作技术。结果:施术57次,能顺利完成1次以上经内瘘透析的成功率为94.5%,血流量不足3例,吻合口栓塞2例,现仍在使用内瘘49例。结论:应根据病人不同的血管条件采用不同的切口与术式,手术应简单易行、缩短手术时间、保证显微血管吻合质量。
Objective: To investigate the choice of incision, operation method and microvascular anastomosis technique for arteriovenous fistula used for hemodialysis. Methods: Fifty-four cases of arteriovenous fistula were collected. According to different physical conditions and vascular conditions, different surgical incisions and surgical procedures were used, and an improved technique of microvascular anastomosis was applied. Results: The operation success rate was 94.5%, the blood flow was less than 3 cases, anastomotic embolization in 2 cases, and 49 cases of fistula were still being used successfully. Conclusion: Different incisions and surgical procedures should be used according to the different vascular conditions of the patients. The operation should be simple and easy, shorten the operation time and ensure the quality of microvascular anastomosis.