Clinical Analysis of Autogenous Arteriovenous Fistulae in Elbow_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 蒋岚杉 ,  王雪钢 , 白斗 , 武少辉 , 张效杰 , 尚建英 , 曾晓红

绵阳市中心医院血管外科（四川绵阳 621000）;

Corresponding author：

王雪钢, Email: wwwxg1987@163.com

Keywords：

尿毒症; 血液透析; 动静脉内瘘; 血管通路

DOI：

10.7507/1007-9424.20140343

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的探讨为维持性血液透析患者行肘部动静脉内瘘的手术方法及技巧。方法回顾性分析我院2009年8月至2012年8月期间行肘部动静脉内瘘68例患者的临床资料。结果 68例患者手术均成功。所有患者术后血流量都能满足血液透析需要，无感染、皮下血肿等并发症。随访至今，未发现血管内血栓形成、造瘘口狭窄等。结论对于腕部自体动静脉不能行造瘘术时，肘部动静脉内瘘为血液透析患者提供了一条新的血管通路。

Citation： 蒋岚杉, 王雪钢, 白斗, 武少辉, 张效杰, 尚建英, 曾晓红. Clinical Analysis of Autogenous Arteriovenous Fistulae in Elbow. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(11): 1442-1443. doi: 10.7507/1007-9424.20140343 Copy

1.	Oliver MJ, Rothwell DM, Fung K, et al.Late creation of vascular access for hemodialysis and increased risk of sepsis[J].J Am Soc Nephrol, 2004, 15(7):1936-1942.
2.	宫丽, 黄洁波, 臧秀娟, 等.自体动静脉内瘘在血液透析患者应用中的并发症分析[J].中国血液净化, 2011, 10(10):531-534.
3.	贾其磊, 包军胜, 杨四文, 等.高位动静脉内瘘术临床应用[J].现代泌尿外科杂志, 2011, 16(3):279, 286.
4.	Field M, Macnamara K, Bailey G, et al.Primary patency rates of AV fistulas and the effect of patient variables[J].J Vasc Access, 2008, 9(1):45-50.
5.	钱智燕, 朱伟国.动静脉内瘘的手术配合与护理[J].现代中西医结合杂志, 2006, 15(22):3139.
6.	张辉, 王鑫, 胡建平, 等.维持性血液透析肘部高位动静脉内瘘并发症处理42例临床分析[J].医学临床研究, 2012, 29(6):1041-1043.
7.	NKF-K/DOQI血管通路的临床实践指南[J].中国血液净化, 2007, 6(6):338-347.
8.	Gracz KC, Ing TS, Soung LS, et al.Proximal forearm fistula for maintenance hemodialysis[J].Kidney Int, 1977, 11(1):71-75.
9.	Bender MH, Bruyninckx CM, Gerlag PG.The gracz arteriovenous fistula evaluated.results of the brachiocephalic elbow fistula in haemodialysis angio-access[J].Eur J Vasc Endovasc Surg, 1995, 10(3):294-297.
10.	曾文彤, 何春水, 戴迪, 等.利用桡动脉起始部建立肘部自体动静脉内瘘[J].重庆医学, 2012, 41(7):712-714.
11.	薄华颖.动静脉内瘘术前拟造瘘血管彩色多普勒超声评价[J].中国中西医结合影像学杂志, 2013, 11(1):79-80, 后插2.
12.	陆石, 张金元.上肢自体透析血管内瘘的设计与方法[J].中国血液净化, 2009, 8(7):398-400.
13.	钟伟强, 杨铁城, 刘冠贤, 等.血液透析动静脉内瘘显微吻合不同口径的影响[J].中华显微外科杂志, 1999, 22(2):73-74.
14.	Derakhshanfar A, Gholyaf M, Niayesh A, et al.Assessment of frequency of complications of arterio venous fistula in patients on dialysis:a two-year single center study from Iran[J].Saudi J Kidney Dis Transpl, 2009, 20(5):872-875.
15.	Ryan SV, Calligaro KD, Dougherty MJ.Management of hemodialysis access infections[J].Semin Vasc Surg, 2004, 17(1):40-44.

1. Oliver MJ, Rothwell DM, Fung K, et al.Late creation of vascular access for hemodialysis and increased risk of sepsis[J].J Am Soc Nephrol, 2004, 15(7):1936-1942.
2. 宫丽, 黄洁波, 臧秀娟, 等.自体动静脉内瘘在血液透析患者应用中的并发症分析[J].中国血液净化, 2011, 10(10):531-534.
3. 贾其磊, 包军胜, 杨四文, 等.高位动静脉内瘘术临床应用[J].现代泌尿外科杂志, 2011, 16(3):279, 286.
4. Field M, Macnamara K, Bailey G, et al.Primary patency rates of AV fistulas and the effect of patient variables[J].J Vasc Access, 2008, 9(1):45-50.
5. 钱智燕, 朱伟国.动静脉内瘘的手术配合与护理[J].现代中西医结合杂志, 2006, 15(22):3139.
6. 张辉, 王鑫, 胡建平, 等.维持性血液透析肘部高位动静脉内瘘并发症处理42例临床分析[J].医学临床研究, 2012, 29(6):1041-1043.
7. NKF-K/DOQI血管通路的临床实践指南[J].中国血液净化, 2007, 6(6):338-347.
8. Gracz KC, Ing TS, Soung LS, et al.Proximal forearm fistula for maintenance hemodialysis[J].Kidney Int, 1977, 11(1):71-75.
9. Bender MH, Bruyninckx CM, Gerlag PG.The gracz arteriovenous fistula evaluated.results of the brachiocephalic elbow fistula in haemodialysis angio-access[J].Eur J Vasc Endovasc Surg, 1995, 10(3):294-297.
10. 曾文彤, 何春水, 戴迪, 等.利用桡动脉起始部建立肘部自体动静脉内瘘[J].重庆医学, 2012, 41(7):712-714.
11. 薄华颖.动静脉内瘘术前拟造瘘血管彩色多普勒超声评价[J].中国中西医结合影像学杂志, 2013, 11(1):79-80, 后插2.
12. 陆石, 张金元.上肢自体透析血管内瘘的设计与方法[J].中国血液净化, 2009, 8(7):398-400.
13. 钟伟强, 杨铁城, 刘冠贤, 等.血液透析动静脉内瘘显微吻合不同口径的影响[J].中华显微外科杂志, 1999, 22(2):73-74.
14. Derakhshanfar A, Gholyaf M, Niayesh A, et al.Assessment of frequency of complications of arterio venous fistula in patients on dialysis:a two-year single center study from Iran[J].Saudi J Kidney Dis Transpl, 2009, 20(5):872-875.
15. Ryan SV, Calligaro KD, Dougherty MJ.Management of hemodialysis access infections[J].Semin Vasc Surg, 2004, 17(1):40-44.

Previous Article
Laparoscopic Surgical Treatment of Primary Retroperitoneal Tumor (Report of 12 Cases)
Next Article
Risk Factors and Preventive Measures of Surgical Site Infection

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Analysis of Autogenous Arteriovenous Fistulae in Elbow

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content