肱动脉-头静脉自体内瘘（BCAVF）对头静脉弓影响的临床研究

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Abstract Objective To investigate the application of brachial-cephalic arterio-venous fistula (BCAVF) in patients with chronic kidney disease.Methods A total of 46 patients with chronic kidney diseases who were treated in Jiujiang Traditional Chinese Medicine Hospital from January 2018 to December 2019 were selected and divided into the control group (n=23) and the observation group (n=23) according to the blind drawing method.In the control group,brachialbasilic arterio-venous fistula (BBAVF) was performed,and in the observation group,BCAVF was performed.The vascular hemodynamic changes in internal fistula,tumor-like expansion,anastomotic size and cephalic vein arch stenosis were compared in the two groups.Results After operation,the resistance index,internal diameter and blood flow of the brachial artery in the two groups were higher than those before operation,and the resistance index,internal diameter and blood flow of the brachial artery in the observation group were higher than those in the control group,the differences were statistically significant (P＜0.05).The large diameter of tumor-like expansion and anastomosis size and cephalic vein arch stenosis of the observation group were lower than those of the control group,and the differences were statistically significant (P＜0.05).Conclusion For patients with chronic kidney diseases,BCAVF should be used with caution during hemodialysis,and the size of the anastomosis should be strictly controlled during the operation to reduce postoperative central venous complications.

Key words： Chronic kidney disease Hemodialysis Cephalic venous arch Brachial-cephalic arterio-venous fistula Brachial-basilic arterio-venous fistula Internal fistula vascular hemodynamics Tumor-like expansion

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	YI Qin-xia
	HUANG Ling

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YI Qin-xia,HUANG Ling. Clinical study of brachial-cephalic arterio-venous fistula (BCAVF) on the cephalic venous arch[J]. 中国当代医药, 2020, 27(35): 97-100.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I35/97

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