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조원현,박성대,박영관 계명대학교 醫科大學 外科學敎室同門會 1990 남경 박영관 교수 정년퇴임기념 논문집 Vol.S No.-
To obtain vascular access for hemodialysis, and to keep these vessels patent for a long time, is essential for the treatment of chronic renal failure. Since Brescia and Cimino used the arterialized forearm vein after arteriovenous fistula, several modifications have been made including a vascular substitute which can be used on the patient who has no more available vessels of their own. In order to make the fistula adequately and preserve it for a long time, several factors should be considered to minimize the early failure of the fistula. One hundred sixteen cases of arteriovenous fistula which were performed on the upper extremities of one hundred and six patients of chronic renal failure were reviewed and analyzed for their patency with regard to diabetes, immediate postfistula state, level of BUN, level of creatinine and preoperative systolic blood pressure. The fistula patency of the diabetic group was 69.2%, 46.2%, 30.8% and 23. 1% at the 3,6,9 and 12th month after creation of the fistula. But the fistula patency of the non-diabetic group was 94.0%, 92.0%, 82.0% and 80.0% during the same period of time. It can be seen that there are statistically significant differences between these two groups. Another group that showed a statistically significant difference at the 12 th month patency was the good immediate postfistula group at 82. 6% and the poor immediate postfistula group at 29.4%. The 3rd month fistula patency of the high systolic blood pressure group was 90.0% and it was much higher than that of the lower blood pressure group at 76.1%. It was observed that there were no significant differences between the patency and the level of BUN or serum creatinine.