Singh Niten, Starnes Benjamin W, Andersen Charles
Vascular and Endovascular Surgery Madigan Army Medical Center, 9040-A Fitzsimmons Avenue, Tacoma, WA 98431, USA.
Surg Clin North Am. 2007 Oct;87(5):1213-28, xi. doi: 10.1016/j.suc.2007.08.004.
Surgery for hemodialysis access is the most commonly performed vascular surgical operation in the United States, predominantly because of a steady increase in the prevalence of end-stage renal disease. Multiple studies have confirmed the improved patency rate and lower infection rates for native arteriovenous fistulae compared with prosthetic arteriovenous grafts. In formulating a strategy for successful dialysis access a comprehensive approach should be undertaken. The preoperative planning, as with any surgical procedure, is the most important aspect, followed by the postoperative maintenance of the access.
在美国，用于血液透析通路的手术是最常开展的血管外科手术，主要原因是终末期肾病的患病率稳步上升。多项研究已证实，与人工动静脉移植物相比，自体动静脉内瘘的通畅率更高，感染率更低。在制定成功建立透析通路的策略时，应采取全面的方法。与任何外科手术一样，术前规划是最重要的方面，其次是术后对通路的维护。
