【摘要】血管表浅化是应用各种手术方式把目标血管置于皮下浅层，能够进行常规穿刺供透析使用的一类技术，包括静脉表浅化和动脉表浅化，根据方法又可分为隧道转位、直接抬高、小切口表浅化技术(minimal incision superficialization technique，MIST)、静脉窗导穿刺器(venous window needle guide，V-WING)的置入、脂肪切除及抽脂术等。本文对上述表浅化技术要点进行详细描述，对相关临床研究报道的通畅率及并发症进行分析，以便指导临床更好的开展这项技术。
【Abstract】Vascular superficialization is a surgical operation that places target vessel to the subcutaneous layer. It includes vein superficialization and artery superficialization, which enable hemodialysis access using routine puncture. The methods of vascular superficialization operation include tunnel transposition, direct elevation, minimal incision superficialization technology (MIST), placement of vein window needle guide (Vwing), fat resection and liposuction and others. In this paper, the key points of these surgical methods are described in detail, and the clinical reports about patency rate and complications are reviewed.
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