Two Different Curative Effect Observation Of Arteriovenous Internal Fistula Operation

Objective:Currently used in maintenance hemodialysis pathways within the autogenous arteriovenous fistula operation emerge in endlessly,with end to end anastomosis,side side of the radial artery and vein anastomosis,side side,improvement of the lateral side of the match,different operative methods have different advantages and disadvantages,this experiment by two kinds of commonly used clinical arteriovenous internal fistula operation(radial artery and the end side of the cephalic vein anastomosis and anastomosis of the lateral side of the radial artery and vein improved head)of the treatment effect,in order to search for anastomotic patency rate is high,the dialysis sufficient blood flow,less postoperative complications of autologous arteriovenous fistula operation.Methods:Retrospective analysis in January 2014 to January 2016 the first affiliated hospital of kunming medical university renal medicine line anastomosis of wrist arteriovenous internal fistula in hemodialysis,100 cases of patients with chronic renal failure.One group as the experimental group of 50 cases,lines of wrist radial artery and the lateral side of the head vein improved anastomosis,28 patients with male,22 patients with female,aged 19～74,the average age(46.6 ± 15.0);Another group as control group of 50 cases,lines of wrist radial artery and the end side of the cephalic vein anastomosis,30 cases of male patients,20 patients with women,aged 22 to 76,average age(48.9±14.6).Compare two groups of surgical success rate,total time of operation,postoperative week 1 anastomotic patency rate,dialysis and blood flow at the time of postoperative complications is 1 year,and do the related data statistics processing.Results:Two groups of all operation one-time success,and by the same surgery doctors according to the specific requirements of the different operative methods and steps to complete,success rate of 100%;Two groups of.postoperative 1 week no anastomotic thrombosis occurred,anastomotic patency,differences between the two groups had no statistical significance(P>0.05);Operation time used group was obviously shorter than the control group used time;Postoperative experimental group 1 case of anastomotic stenosis in 1,the incidence of postoperative complications within 1 year was 2%,the control of postoperative 1 in 5 cases of anastomotic congestion,3 cases of anastomotic stricture,the incidence of postoperative complications within 1 year was 16%;The blood flow in the experimental group was significantly greater than that in the control group.Two groups used in the operation time,postoperative complications,dialysis,blood flow more 1 year,the difference was statistically significant(P<0.05).Conclusion:1、Arteriovenous lateral side of the improved anastomosis in operation time,dialysis,blood flow,the postoperative complications is better than that of arteriovenous anastomosis of end side;2、Improved the arteriovenous anastomosis of lateral side the arteriovenous wall counterpoint is good,not easy to produce distortion of blood vessels and rotating,buckling,appeared to offer less postoperative blood vessels into angular deformity,simple and convenient operation,Shorten operation time,less postoperative complications,has a certain clinical application prospect.