中国临床医学2011，Vol.18Issue(2)：150-152,3.
扩张小口径静脉建立自体动静脉内瘘
Studies on Using Small Caliber Cephalic Vein to Construct the Autogenous Radial-Cephalic Hemodialysis Access
摘要
Abstract
Objective:To discuss the patency of the autogenous radial-cephalic hemodialysis access using small caliber cephalic vein.Methods: From January 2007 to September 2009, 67 patients with uremia received operation of radial-cephalic hemodialysis access.All patients were the first time to establish autogenous arteriovenous fistula ( AVF ).The experimental group(EG) consisted of 40 patients who use the Fogarty catheter.The fistula were placed only for veins ≤2.5 mm in diameter by measuring with the ultrasound.The other 27 patients who have normal cephalic vein (diameter＞2.5 mm) make up control group (CG).They received the traditional operation.Follow up the patency rates and complication rates of the fistula after procedure.Results: Follow up the information of all the 67 patients completely.The shortest follow-up was 3 months and the longest was 36 months.Mean follow-up was 18 months.Five AVFs were failure in EG and 4 in CG.58 patients had received hemodialysis using radial-cephalic access.Primary and secondary patency rates were 64％ and 72％ at 12 months for EG and 60％ and 76％ at 12 months for CG, respectively.Conclusions: The method is convenience to overcome the stenosis of the vessels.Partial patients who have small caliber cephalic vein(diameter＜2.5 mm) can get ideal access.The long term effects need to be observed further more.关键词
血透/球囊/桡动静脉内瘘分类
医药卫生引用本文复制引用
李旭,徐欣,范隆华..扩张小口径静脉建立自体动静脉内瘘[J].中国临床医学,2011,18(2):150-152,3.基金项目
上海市卫生局科研课题(编号:044078) （编号:044078）
