评价采用菱形吻合技术制作的动静脉瘘。
Evaluation of arteriovenous fistulas made with the diamond-shaped anastomosis technique.
机构信息
Department of Cardiovascular Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
出版信息
Med Sci Monit. 2012 Sep;18(9):MT67-70. doi: 10.12659/msm.883337.
BACKGROUND
Obtaining vascular access suitable for long-term use in hemodialysis patients is of utmost importance. In these patients, autogenous methods are generally used for access. There are various techniques for obtaining autogenous access in hemodialysis patients.
MATERIAL/METHODS: Our objective was to evaluate the outcomes of the "diamond-shaped anastomosis" technique used as a surgical technique during the creation of arteriovenous fistulas in patients with chronic renal failure. We randomly selected and retrospectively examined 67 patients on whom the "diamond-shaped anastomosis" technique had been performed.
RESULTS
We found an 89% patency rate in the 67 randomly selected patients on whom we applied this technique in the early stage (first 6 months).
CONCLUSIONS
Maintaining fistula patency in the early postoperative period is important in fistula functioning. The diamond-shaped anastomosis is a simple technique with proven efficiency. This method can be applied in all situations and contributes to postoperative early stage latency.
背景
为血液透析患者获得适合长期使用的血管通路至关重要。在这些患者中，通常使用自体方法来获得通路。在血液透析患者中，有多种获取自体通路的技术。
材料/方法：我们的目的是评估“菱形吻合术”作为一种手术技术在慢性肾衰竭患者动静脉瘘形成中的应用效果。我们随机选择并回顾性检查了 67 例接受该技术治疗的患者。
结果
我们发现，在 67 例随机患者中，有 89%的患者在早期（前 6 个月）应用该技术后血管通畅。
结论
保持术后早期瘘管通畅对于瘘管功能至关重要。菱形吻合术是一种简单且有效的技术。该方法适用于所有情况，并有助于术后早期潜伏。
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