CAJ | 학술논문

目的：探讨尿毒症患者自体动静脉内瘘(AVF)建立的手术方式及手术经验，提高对动静脉内瘘手术的认识。方法整群选取2012年4月-2014年9月在该院行动静脉内瘘成形手术的61例患者，对其术前准备、手术方式选择、操作要点、成功率等进行总结分析。结果动静脉内瘘手术总体成功率为91.80%，共行前臂自体动静脉内瘘成形术58例、肘窝部自体动静脉内瘘成形术3例。结论动静脉内瘘首选前臂自体动静脉内瘘，其次是肘窝部自体动静脉内瘘。充分的术前评估及准备、细致与正确手术方法、及时处理术后各种并发症是成功建立内瘘的保证。
목적：탐토뇨독증환자자체동정맥내루(AVF)건립적수술방식급수술경험，제고대동정맥내루수술적인식。방법정군선취2012년4월-2014년9월재해원행동정맥내루성형수술적61례환자，대기술전준비、수술방식선택、조작요점、성공솔등진행총결분석。결과동정맥내루수술총체성공솔위91.80%，공행전비자체동정맥내루성형술58례、주와부자체동정맥내루성형술3례。결론동정맥내루수선전비자체동정맥내루，기차시주와부자체동정맥내루。충분적술전평고급준비、세치여정학수술방법、급시처리술후각충병발증시성공건립내루적보증。
Objective To study the operation method and experience of arteriovenous fistula (AVF) operation in patients with ure-mia, and to improve the knowledge about arteriovenous fistula operation. Methods 61 uremia patients who received arteriovenous fistula operation in 2012-2014 were selected, of whom the preoperative preparation, operation method, operation points and suc-cess rate were analyzed. Results Overall achievement ratio of AVF was 91.8%. 58 cases were native forearm AVF operation and 3 cases was autogenous elbow AVF. Conclusion The first choice of AVF is native forearm AVF and the next is autogenous elbow AVF operation. Adequate preoperative evaluation and preparation, correct judgment of surgical methods, timely treatment of post-operative complications are guarantees of successful AVF operation.