The Analysis of Factors Influencing the Success Rate of Autologous Arteriovenous Fistula
10.12259/j.issn.2095-610X.S20250810
- VernacularTitle:自体动静脉内瘘成形术成功率的影响因素
- Author:
Ping LU
1
;
Guoyong HE
;
Li LI
;
Huijuan ZENG
;
Zijuan SUN
;
Jun LI
Author Information
1. 昆明医科大学第一附属医院肾内科,云南 昆明 650032
- Keywords:
Hemodialysis;
Autogenous arteriovenous fistula;
Hemoglobin;
Hiabetes
- From:
Journal of Kunming Medical University
2025;46(8):72-77
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the factors affecting the success rate of operation in patients with end-stage renal disease by analyzing and comparing the differences of patients'basic conditions and clinical laboratory data.Methods A total of 107 patients who underwent forearm autogenous arteriovenous fistula surgery in Nujiang Lisu Autonomous Prefecture People's Hospital from January 2021 to August 2024 were selected and divided into AVF failure group and AVF success group according to whether internal fistula occluded during the operation or within 1 week after the operation.The basic data and clinical laboratory data of enrolled patients were collected.Correlation statistical methods were used to compare whether there were differences between the two indexes.Results Univariate analysis showed that there were statistically significant differences between the two groups in smoking history,diabetes history,nephritic syndrome history,gender,preoperative blood pressure,hemoglobin,low density lipoprotein and total cholesterol(P<0.05).However,There was no significant difference between the two in history,age,white blood cell count,neutrophil count,lymphocyte count,monocyte count,platelet,creatinine,urea nitrogen,triglyceride,blood calcium,blood phosphorus,calcium-phosphorus product,fibrinogen,D-dimer and albumin(P>0.05).Binary Logistic regression analysis showed that gender,diabetes history,nephritic syndrome history,preoperative blood pressure,hemoglobin and low-density lipoprotein were independent risk factors for AVF initiation failure(P<0.05).Conclusion Female patients,history of diabetes mellitus,history of nephrotic syndrome,low hemoglobin,elevated low-density lipoprotein,and poor blood pressure control are independent factors affecting the failure of AVF initiation.
