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Impact of surgeon factor on radiocephalic fistula patency rates

机译:外科医生因素对放射性头颅瘘通畅率的影响

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Introduction Hemodialysis with arteriovenous fistula (AVF) has been widely accepted treatment modality for patients with chronic renal failure (CRF). Radiocephalic fistulas are considered to be the most desirable for the initial vascular access. The aim of this study is to investigate the surgeon factor on radiocephalic fistula patency rates. Methods A total of 186 patients with diagnosis of CRF underwent Radiocephalic fistula for hemodialysis access were included. Patients were divided into 2 groups according to operating surgeon. Patients were evaluated according to demographic characteristics, secondary patency rates, second AVF creation and complications. Results Mean age was 57.7?±?14.8 years. The most common etiology of CRF was idiopathic (66.6%). 40 (75.5%) patients in group 1 and 122 (91.7%) patients in group 2 were pre-dialysis patients (p?
机译:简介动静脉瘘(AVF)血液透析已被广泛接受用于慢性肾衰竭(CRF)患者的治疗方式。放射状头瘘被认为是最理想的初始血管通路。这项研究的目的是调查外科医生因素对放射头瘘的通畅率。方法对186例经确诊为CRF的患者行放射头瘘行血液透析。根据手术医生将患者分为两组。根据人口统计学特征,继发通畅率,第二次AVF产生和并发症对患者进行评估。结果平均年龄为57.7±14.8岁。 CRF最常见的病因是特发性(66.6%)。第一组的40名患者(75.5%)和第二组的122名患者(91.7%)为透析前患者(p <0.05)。总体二次通畅率为77.4%。第1组和第2组的患者二次通畅率分别为83%和75.2%(p≥0.458)。第1组的2名患者(3.8%)和第2组的23名患者(17.3%)完成了第二次AVF的创建(p <0.05)。术后并发症发生率为9.6%。结论手术外科医生并不是继发性头颅动静脉瘘通畅的主要因素。强调 ? 144名患者(77.4%)总体二级通畅率高。 ?根据二次通畅率未观察到统计学差异。 ?术后并发症发生率为9.6%。 ?手术外科医生并不是影响放射头瘘通畅率的主要因素。

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