临床外科杂志 ›› 2021, Vol. 29 ›› Issue (8): 798-799.doi: 10.3969/j.issn.1005-6483.2021.08.029

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浅谈上臂贵要静脉转位通道的临床应用与手术技巧

  

  1. 长江大学附属荆州市第一人民医院介入血管外科
  • 出版日期:2021-08-20 发布日期:2021-08-20

Discussion on the clinical application and surgical skills of the upper arm basilic vein transposition channel

  • Online:2021-08-20 Published:2021-08-20

摘要: 随着血透技术的进步与发展,越来越多的晚期肾衰竭病人可通过维持性血液透析延长生命。然而,随着血透通道的长期使用,通道并发症成为影响透析质量和病人寿命的主要因素之一。部分病人因通道长期使用出现各种并发症致使通道永久失功,常规透析通道无法建立的病人,上臂贵要静脉转位透析通道不失为一种选择。本文对上臂贵要静脉转位通道手术的优缺点、手术方法及技巧进行综述。

关键词: 血液透析, 上臂, 贵要静脉, 转位, 透析通道

Abstract: With the progress and development of hemodialysis techniques,more and more patients with advanced renal failure can prolong their life through hemodialysis.However,fistula complications can appear with the long use of the access and can affect the quality of patient's life.For those patients with permanent failure of the access due to various complications caused by longterm use of the access,however,the conventional dialysis access can not be established,the upper arm basilic vein transposition dialysis access can be accepted  as a choice.The author will discuss the advantages and disadvantages,surgical methods and skills of the upper arm basilic vein transposition operation combined with clinical experience and literature.

Key words: hemodialysis, up arm, basilic vein, transposition, arteriovenous fistula

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