CAJ | 학술논문

目的：通过对比尿毒症造瘘患者动静脉瘘端－端吻合与端－侧吻合的优缺点，探索动静脉造瘘的最佳方法。方法回顾性分析我院2011年1月—2014年1月住院期间接受动静脉造瘘手术的262例尿毒症患者的临床资料，其中86例患者（ A组）行前臂远端桡动脉和头静脉端－端吻合术，176例患者（ B组）行前臂远端桡动脉和头静脉端－侧吻合术，分析A、B两组患者术后并发症发生率、8周内瘘成熟率、2个月后透析流量与1、3年通畅率。结果 A组患者8周内瘘成熟率、窃血综合征发生率高于B组（P＜0．05），两组1、3年通畅率及2个月后透析流量≥300 ml／min患者所占比例的差异无统计学意义（P＞0．05）。结论两种吻合造瘘方法在长期透析使用时无明显差异。
목적：통과대비뇨독증조루환자동정맥루단－단문합여단－측문합적우결점，탐색동정맥조루적최가방법。방법회고성분석아원2011년1월—2014년1월주원기간접수동정맥조루수술적262례뇨독증환자적림상자료，기중86례환자（ A조）행전비원단뇨동맥화두정맥단－단문합술，176례환자（ B조）행전비원단뇨동맥화두정맥단－측문합술，분석A、B량조환자술후병발증발생솔、8주내루성숙솔、2개월후투석류량여1、3년통창솔。결과 A조환자8주내루성숙솔、절혈종합정발생솔고우B조（P＜0．05），량조1、3년통창솔급2개월후투석류량≥300 ml／min환자소점비례적차이무통계학의의（P＞0．05）。결론량충문합조루방법재장기투석사용시무명현차이。
Objective To explore an optimum approach for artificial arteriovenous fistula through comparison of end-to-end and end-to-side nastomosis between the distal radial artery and cephalic vein in uremia patients.Methods A retrospective analysis was conduct, using clinical data from 262 uremia patients receiving fistula operation from Janu-ary 2011 to January 2014 in our hospital.Among these patients were 86 patients ( Group A) receiving end-to-end an-astomosis between the distal forearm radial artery and cephalic vein, and 176 patients ( Group B) receiving end-to-side anastomosis between the distal forearm radial artery and cephalic vein.Then, both groups were compared for the in-cidence of postoperative complications, fistula maturation rate within eight weeks, dialysis flow after two months and reca-nalization rate within one and three years.Results Group A produced increases in fistula maturation rate within eight weeks and steal syndrome incidence than Group B (P<0.05).No statistical difference was found between both groups as to dialysis flow after two months and recanalization rate within one and three years.Conclusion No remarkable differ-ence was found between both approaches during long-term dialysis.