Continuous suture and parachute continuous suture in forearm autologous arteriovenous endovascular fistula surgery
10.3969/j.issn.1006-5725.2025.06.012
- VernacularTitle:连续缝合法和降落伞式连续缝合法在前臂自体动静脉内瘘手术中的应用
- Author:
Lihan LIANG
1
;
Weiting CHEN
1
;
Xi WANG
1
;
Yiming LIANG
1
Author Information
1. 广州中医药大学第八临床医学院(广东 佛山 528000);佛山市中医院(广东 佛山 528000)
- Publication Type:Journal Article
- Keywords:
vascular suture;
forearm autologous arteriovenous endovascular fistula surgery;
applica-tion effect;
fistula patency rate;
complication
- From:
The Journal of Practical Medicine
2025;41(6):852-858
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of continuous suture and parachute continuous suture in forearm autologous arteriovenous endovascular fistula surgery,and to analyse their effects on postoperative fistula patency rate and complications.Methods 209 patients with end-stage renal disease(ESRD)admitted to our hospital from January,2020 to January,2024 were selected as observation objects,and they were divided into group A(simple intermittent suture,n=50),group B[simple continuous(two-point)suture,n=63]and group C(parachute continuous suture,n=96)The postoperative vascular anastomosis time,operation time,blood flow,vascular patency rate,thrombosis rate,complication rate and quality of life score of each group were compared.Results In group C,the vascular anastomosis time and overall operation time were the shortest,and the blood flow was less(P<0.05),but there was no significant difference in vascular patency rate,thrombosis rate and complication rate(P>0.05).In group C,the level of serum inflammatory factors decreased the most and the qual-ity of life improved the most significantly(P<0.05).Conclusions Continuous suture and parachute suture can shorten the operation time,reduce the level of serum factors and improve the quality of life.The best scheme should be selected according to the individual differences of patients.
