目的 探讨自体动静脉内瘘近心端堵塞闭塞造成肿胀手综合征治疗方法。方法 自2011年3月～2013年11月，我们对13例自体动静脉内瘘近心端闭塞造成肿胀手综合征的维持性透析患者，其中9例合并手窃血综合征，进行了手术治疗。对13例患者均结扎原动静脉内瘘。结果 13例患者结扎内瘘，成功率为100％，术后患者手部肿胀迅速消失，缺血症状也逐渐缓解。结论 自体动静脉内瘘近心端闭塞后，造成肿胀手综合征，如不能再通内瘘，可采用手术治疗结扎内瘘，消除肿胀和缺血症状。

Objective To investigate the treatment of swelling hand syndrome caused by proximal blockage of autogenous arteriovenous fistula. Methods In the duration from March 2011 to November 2013, we have treated 13 cases of swelling hand syndrome caused by proximal blockage of autogenous arteriovenous fistula in maintenance hemodialysis patients. Nine of the 13 cases had hand ischemia and treated with surgery. All of the 13 case underwent ligation of the arteriovenous fistula. Results The success rate of fistula ligation was 100%. After the ligation, hand swelling disappeared rapidly with gradually improvement of ischemia symptoms. Conclusion Proximal blockage of autogenous arteriovenous fistula caused swelling hand syndrome, and surgical ligation of the fistula effectively eliminated swelling hand and ischemia symptoms.