摘要
目的 探讨自体血管移植进行动静造瘘术临床应用的可行性。 方法 1997年 10月～ 2 0 0 2年 7月对 7例肾功能衰竭患者选择大隐静脉移植 ,进行前臂的动静脉造瘘术。其中男 3例 ,女 4例 ,年龄 4 7～ 76岁。慢性肾小球肾炎 2例 ,糖尿病肾病 5例。手术选择血管较粗直的大隐静脉 ,将大隐静脉在前臂内侧行直线或 U形搭桥 ,进行桡动脉或肱动脉与头静脉、或贵要静脉、或肘正中静脉吻合。 结果 术后随访 15～ 32个月 ,动 -静脉瘘管均获成功 ,全部患者均能在临床定期进行血液透析 ,无假性动脉瘤形成。 结论 自体血管移植动 -静脉造瘘术是一种手术操作简便、取材容易、价格低廉和符合临床需要的方法 ,能够弥补血管造瘘术失败或前臂无血管造瘘的动 -静脉造瘘方式。
Objective To investigate the clinical application of fistulation of artery and vein with self-blood vessel transplantation. Methods Seven patients with renal failure were given antebrachial fistulation of artery and vein with great saphenous veins of themselves. The ortho- and pachy-great saphenous vein was chosed after it was cut. The great saphenous vein was passed bridge inside forearm in straight line or morpha-U. The method was anastomosis of the radial artery or brachial artery and cephalic vein, basilic vein or median cubital vein. Results The fistulations of artery and vein were successful and all patients were in hemodialysis regularly. Conclusion The fistulation of artery and vein with self-blood vessel transplantation is a convenient, easy, cheap operation. It can coincide with the clinical demand and be used to make up the failure of fistulation or the fistulation that there is no blood vessel in the forearm.
出处
《中国修复重建外科杂志》
CAS
CSCD
2004年第2期146-147,共2页
Chinese Journal of Reparative and Reconstructive Surgery
