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目的总结自体大隐静脉移植内瘘的建立经验。方法回顾性分析32例自体大隐静脉移植内瘘患者资料,均采取直桥式(J型)吻合,对比大腿及小腿段大隐静脉移植内瘘成功率、血流量、成熟时间和使用时间。结果自体大隐静脉移植建立内瘘成功率高,本组内瘘手术均1次成功。结论对于上肢浅静脉条件不佳的血液透析患者,自体大隐静脉移植内瘘是建立血管通路的较好方式;选择大腿段静脉移植较小腿段大隐静脉移植内瘘的内瘘成熟时间较短,使用时间无明显差异。
Objective To summarize the experience of the establishment of autologous saphenous vein graft fistula. Methods A retrospective analysis of 32 patients with autologous saphenous vein grafts was performed. The results were compared with the direct bridge type (J type) anastomosis. The success rate, blood flow, maturation time and time of fistula in the thigh and lower leg were compared. Results The autologous saphenous vein transplantation fistula success rate, the group of fistula surgery were successful. Conclusions Autologous saphenous vein grafts are a good way to establish vascular access in hemodialysis patients with poor superficial vein of upper limbs. Autologous saphenous vein grafts are the best way to establish vascular access. No significant difference in the use of time.