自1996年Brescia等首次利用桡动脉和头静脉建立动静脉内瘘以来,自体动静脉内瘘已成为血液透析(HD)最常用、最理想的永久性血管通路,亦被视为HD患者的“生命线”。血管因素和技术因素是血管通路失败的重要原因。湖北省黄石市二医院肾内科自2001年6月～2005年12月共建立钛轮钉动 Autologous arteriovenous fistula has become the most commonly used and ideal permanent vascular access for hemodialysis (HD) since 1996, when Brescia et al first used the radial artery and the cephalic vein to establish an arteriovenous fistula and was also considered the “ lifeline”. Vascular and technical factors are the important reasons for the failure of vascular access. Department of Nephrology, Second Hospital of Huangshi, Hubei Province from June 2001 to December 2005 to establish a titanium wheel nailing