论文部分内容阅读
目的:观察前臂动静脉内瘘不同术式效果。方法:将接受血液透析终末期肾衰竭75例分为端侧吻合组44例和端端吻合组31例。比较两组内瘘畅通率和常见并发症的发生率。结果:端端吻合组手术失败率高于端侧吻合组(P<0.01),而端侧吻合组高输出量心力衰竭发生率高于端端吻合组(P<0.05)。结论:两种术式在临床应用中各有优劣,应根据患者具体情况选用手术术式。
Objective: To observe the effect of different surgical methods of forearm arteriovenous fistula. Methods: Seventy-five patients with end-stage renal failure who underwent hemodialysis were divided into end-to-end anastomosis group (n = 44) and end-to-end anastomosis group (n = 31). The incidence of fistula and common complications in both groups were compared. Results: The failure rate of end-to-end anastomosis was higher than that of end-to-end anastomosis (P <0.01), while the incidence of high-output heart failure in end-to-end anastomosis was higher than that of end-to-end anastomosis (P <0.05). Conclusion: The two surgical procedures have their advantages and disadvantages in clinical application, surgical patients should be selected according to the specific circumstances.