Widera R, Achenbach H, Hausmann F
Klinik für Herz- und Gefässchirurgie, Karl-Marx-Universität Leipzig.
Z Urol Nephrol. 1988 Feb;81(2):107-10.
The number of patients with end-stage renal disease treated by chronic hemodialysis is permanently increased. An assumption of a long-term and successful treatment is the durable functioning vascular access. The method of choice worldwide is the typical Cimino fistula on the distal forearm, but a more peripheral arterio-venous fistula is possible. A fistula in the Tabatière region has proved to be excellent in our experience with 51 patients operated between January 1985 and March 1987. The surgical technique, results, and advantages of this vascular access operation are described.
接受慢性血液透析治疗的终末期肾病患者数量持续增加。长期且成功治疗的一个前提是持久有效的血管通路。目前全球范围内的首选方法是在前臂远端制作典型的西米诺动静脉内瘘,但也可以制作更外周的动静脉内瘘。根据我们1985年1月至1987年3月间为51例患者实施手术的经验,发现Tabatière区域的内瘘效果极佳。本文描述了这种血管通路手术的外科技术、结果及优势。