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目的观察不同前臂动静脉内瘘应用于慢性肾功能衰竭尿毒症期维持血液透析的临床效果。方法建立前臂动静脉内瘘,治疗组采用桡动脉近心端结扎且远心端与头静脉近心端吻合,对照组桡动脉近心端与头静脉近心端吻合。结果治疗组在手术时间,术后通畅率,血流量等方面显著优于对照组(P<0.05)。结论该术式治疗慢性肾功能衰竭尿毒症期维持血液透析的临床疗效肯定。
Objective To observe the clinical effect of using different forearm arteriovenous fistulas in the maintenance of hemodialysis during uremia of chronic renal failure. Methods The fistula of forearm arteriovenous fistula was established. The treatment group was ligated proximally to the radial artery and the proximal end of the radial artery was anastomosed with the proximal end of the cephalic vein. The proximal end of the radial artery of the control group was proximal to the proximal end of the cephalic vein. Results The treatment group was significantly better than the control group in operation time, postoperative patency rate and blood flow (P <0.05). Conclusion The operative treatment of chronic renal failure uremia to maintain hemodialysis certainly.