【摘要】　目的　 評價在鼻煙壺及腕部行動靜脈造瘺術的療效。　方法　 將2007年6月-2009年6月收治的156例腎功能衰竭患者隨機分成兩組，分別在鼻煙壺及腕部行動靜脈造瘺術，術后經彩色超聲隨訪其吻合口通暢情況，臨床觀察瘺管使用時間及其并發癥。　結果　 術后隨訪2年，鼻煙壺處行動靜脈造瘺術的患者，瘺管術后1年初級通暢率及累積次級通暢率分別為76.9%、92.1%；術后2年初級通暢率及累積次級通暢率分別為57.9%、78.9%。而腕部組瘺管1年初級通暢率及累積次級通暢率分別為64.1%、81.3%；術后2年初級通暢率及累積次級通暢率分別為56.0%、76.0%。兩組在術后1年初級通暢率及累積次級通暢率差異有統計學意義（P lt;0.01），術后2年初級通暢率及累積次級通暢率差異無統計學意義（P gt;0.05）。　結論　 鼻煙壺處行動靜脈造瘺術的瘺管在短期內通暢率較腕部高，長期并無顯著性差異。
【Abstract】　Objective　 To evaluate the effect of artificial arteriovenous fistula between tabatiere anatomique and wrist.　Methods　 From June 2007 to June 2009, 156 cases of renal failure were randomly divided into two groups, and underwent artificial arteriovenous fistula on tabatiere anatomique or wrist, respectively. The patency of the anastomotic stoma was observed via B ultrasonography.　Results　 The patients were followed up for two years postoperative. After the operation, the primary patency was 76.9% at the first year and 57.9% at the second year in tabatiere anatomique group; cumulative secondary patency was 92.1% at the first year and 78.9% at the second in tabatiere anatomique group; primary patency was 64.1% at the first year and 56.0% at the second in wrist group; cumulative secondary patency was 81.3% at the first year and 76.0% at the second year in wrist group. The primary patency and cumulative secondary patency were significantly different between tabatiere anatomique group and wrist group at the first year postoperatively (P lt;0.01) and not significant at the second year postoperatively (P gt;0.05).　Conclusion　 Prophase patency of tabatiere anatomique is higher than that of wrist. There was no significant difference between them in a long term.

引用本文： 俞慎林,雷澤華,高峰畏. 動靜脈造瘺在鼻煙壺及腕部的臨床研究. 華西醫學, 2011, 26(11): 1669-1671. doi: 復制