KẾT QUẢ TẠO THÔNG ĐỘNG – TĨNH MẠCH ĐỂ CHẠY THẬN NHÂN TẠO TẠI KHOA NGOẠI TỔNG HỢP BỆNH VIỆN ĐA KHOA TỈNH NAM ĐỊNH

Abstract

Objectives: To evaluate the results of arteriovenous fistula creation for hemodialysis. Subjects and methods: A retrospective study of 34 patients with chronic renal failure who were indicated and underwent arteriovenous fistula creation for hemodialysis at Nam Dinh Provincial General Hospital from September 2019 to August 2020. Results: The age of the patients in the study ranged from 28 to 80 years old, with an average of 58 ± 12 years old, mainly concentrated in the age group of 51 - 70 (accounting for 55.9%). The preferred surgical site on the non-dominant hand was the left hand, accounting for 79.4%, and mainly on the wrist with 85.3%. The anesthesia method was 100% brachial plexus anesthesia. The anastomosis technique was 100% end-to-side and all patients were sutured with a sling. Immediate postoperative results showed clear pulsation at the anastomosis in 100% of patients, 32.3% of patients had good postoperative ventilation by ultrasound; the proportion of patients with clear pulsation, spreading far along the vein accounted for 88.2%; 1 month after surgery, 17 patients (accounting for 50%) had hemodialysis through the hand bridge and 28 patients (accounting for 82.3%) had hemodialysis through the hand bridge after 2 months.