目的：总结自体大隐静脉移植内瘘的建立经验。方法回顾性分析32例自体大隐静脉移植内瘘患者资料，均采取直桥式（J型）吻合，对比大腿及小腿段大隐静脉移植内瘘成功率、血流量、成熟时间和使用时间。结果自体大隐静脉移植建立内瘘成功率高，本组内瘘手术均1次成功。结论对于上肢浅静脉条件不佳的血液透析患者，自体大隐静脉移植内瘘是建立血管通路的较好方式；选择大腿段静脉移植较小腿段大隐静脉移植内瘘的内瘘成熟时间较短，使用时间无明显差异。%ObjectiveThe purpose of this study is to sum up the experience of establishing the ifstula using autologous great saphenous vein.MethodsWe retrospectively analyzed the clinical data of 32 patients establishing the ifstula using autologous great saphenous vein transplantation (all J-type anastomose), which we treated from 2010 March to 2015 October. And then we compared the successful rate, blood lfow mature time and life time of ifstula.ResultsOverall achievement ratio of autologous great saphenous vein transplantation is 100%.ConclusionsFor the hemodialysis patients with poor upper limb superifcial vein, autologous great saphenous vein transplantation is a better way of establishing the vascular access. the thigh part of autologous great saphenous vein transplantation is better than that of the calf part in mature time, but no difference in life time.
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