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用于定期血液透析的动静脉瘘:一种纠正静脉源性远端并发症的简单手术

[Arteriovenous fistulae for periodic hemodialysis: a simple procedure for correcting distal complications of venous origin].

作者信息

Idrissi M, Bellat F, Peter C, Le Peltier P

出版信息

J Urol (Paris). 1984;90(8-9):567-8.

PMID:6534965
Abstract

A method is proposed for treatment of venous stasis responsible for edema and trophic disorders of the hand after side-to-side arteriovenous fistula at the wrist. A full lumen anastomosis is performed between the cephalic vein of the thumb (distal in relation to the fistula) and the superficial cubital vein, using a subcutaneous tunnel created on the dorsal surface of the wrist. Applied to 7 patients this procedure led to regression of edema, and only one case of thrombosis in the 2nd postoperative month. In the other 6 patients the newly formed anastomosis remained permeable when examined after a mean follow up of 3 years.

摘要

提出了一种治疗手腕侧侧动静脉瘘后导致手部水肿和营养障碍的静脉淤滞的方法。利用在手腕背侧创建的皮下隧道,在拇指头静脉(相对于瘘管为远端)和肘前浅静脉之间进行全腔吻合。该手术应用于7例患者,导致水肿消退,术后第2个月仅1例发生血栓形成。在其他6例患者中,平均随访3年后检查发现新形成的吻合口仍保持通畅。

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