不同端侧吻合方法建立动-静脉内瘘成功率及使用时间比较

目的 比较两种端侧连续缝合血管建立标准动一静脉内瘘成功率及使用时间.方法 回顾性总结114例次动一静脉内瘘成功率及使用时间,其中静脉断端斜行切口为Ⅰ组(62例次),静脉盲端纵行切口为Ⅱ组(52例次).结果 Ⅱ组患者血管内瘘一次性吻合成功率为96.1%,与Ⅰ组患者比较差异有统计学意义(P<0.01),Ⅱ组患者血管内瘘手术成功率为92.3%,与Ⅰ组患者比较差异有统计学意义(P<0.05);两组使用时间比较差异无统计学意义(P>0.05).结论 静脉盲端纵行切口建立动-静脉内瘘成功率优于静脉断端斜行切口,是端侧吻合的首选方法.

Different methods of set up end to side anastomosis arteriovenous fistula success rate and the use of time

Objective To compare the two types of end to side set up for standard sucre vascular arteriovenous fistula success rate and the use of time. Methods A retrospective summary of 114 cases of arteriovenous fistula at the success rate and the use of time, one of venous stung, Ⅰ oblique incision group (62 cases), intravenous blind- side longitudinal ineision group Ⅱ (52 cases).Results Ⅱ group disposable vascular anastomosis fistula success rate of 96.1%, significantly better than in group Ⅰ (P < 0.01), Ⅱgroup of vascular surgical success rate of fistula 92.3 %, higher than in group Ⅰ (P < 0.05) ; two time no significant difference(P > 0.05). Conclusion Intravenous longitudinal incision blind - side arteriovenous fistula set up the success rate is superior to intravenous oblique incision ends, end- to side anastomosis is the preferred method.