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目的报道贵要静脉转位前置与桡动脉吻合动静脉内瘘术的临床效果。方法以肱骨内上髁平面为起始点,分离贵要静脉。紧贴真皮下制备皮下隧道,将贵要静脉通过皮下隧道前置于前臂掌侧,应用四定点连续缝合法与桡动脉作端侧吻合7例,两定点间断缝合法作端端吻合5例。结果术后随访5个月～5年,平均33个月,血管瘘口均通畅,贵要静脉充盈佳,显露好,易穿刺,满足透析需要。结论贵要静脉前置与桡动脉吻合内瘘术是有效的造瘘方法,尤其适用于头静脉无法再使用病例。
Objective To report the clinical effect of anastomosis arteriovenous fistula with your anterior superior vena cava transposition and radial artery. Methods The medial epicondyle plane of humerus was taken as the starting point to separate your valuable vein. The subcutaneous tunnel was prepared immediately under the dermis, the forelimb vein was placed on the vein of the forearm through the subcutaneous tunnel, and the end-to-side anastomosis was performed with four-point continuous suture method and radial artery in 7 cases. Results The patients were followed up for 5 months to 5 years, with an average of 33 months. The fistulas of the vessels were smooth and the venules of your veins were well filled. The implants were well exposed and easy to puncture to meet the need of dialysis. Conclusion Your anastomosis fistula with anterior pronator and radial artery is an effective method for making fistula, especially for the cases that the cephalic vein can not be reused.