摘要
目的探讨彩色多普勒超声监测在尿毒症行人工造瘘血管治疗中的临床价值.方法选取2017年8月-2019年11月于我院行人工造瘘血管治疗的尿毒症患者52例,所有患者均采用迈瑞DC-7彩色多普勒超声诊断仪进行检查,分析人工造瘘血管超声监测结果及表现;另比较造瘘术后超声各指标情况,包括静脉内径、动脉内径、吻合口内径及吻合口血流流速.结果52例患者中,共17例患者发生并发症,发生率为32.69%,未见明显并发症共35例.包括造瘘血管旁软组织内血肿(2例)、头静脉瘤样扩张(2例)、血栓形成(9例)、血管狭窄(4例).无并发症组患者静脉内径、动脉内径、吻合口内径均大于并发症组,吻合口血流流速快于并发症组,差异有统计学意义(P<0.05).结论将彩色多普勒超声监测应用于尿毒症行人工造瘘血管治疗中可动态观察血管内瘘情况,可预防并发症的发生,同时为临床采取恰当的干预措施提供参考.
Objective This paper aims to investigate the clinical value of color Doppler ultrasound monitoring in the treat-ment of arificial arteria venous fistula for uremia.Methods 52 patients with uremia who underwent artificial arteria venous fistula treatment in the hospital from August 2017 to November 2019 were selected as the subjects.All the patients were examined by Mindray DC-7 color Doppler ultrasonic diagnosis apparatus.The the results and performance of ultrasonic monitoring of artificial arteria venous fistula were analyzed;The ultrasound indexes after fistulation were compared,including the inner diameter of vein,inner diameter of artery,inner diameter of anastomotic stoma and blood flow velocity of anastomotic stoma.Results 17 cases of complications occured in the 52 patients,with an incidence of 32.69%,and 35 patients had no obvious complications.Penivas-cular fistula hematoma of soft tissue(2 cases),cephalic venous dilatation(2 cases),thrombosis(9 cases),and vascular steno-sis(4 cases)were detected.The inner diameter of vein,inner diameter of artery,and inner diameter of anastomotic stoma in the no-complication group were all larger than those in the complication group,and the blood flow velocity of anastomotic stoma was faster than that in the complication group,with statistically signifcant difference(P<0.05).Conclusion Color Doppler ultra-sound monitoring in the treatment of artificial arteria venous fistula for uremia can dynamically observe the situation of intravascu-lar fistula and prevent the occurrence of complications,which provides a reference for clinical appropriate intervention measures.
作者
黄国珍
HUANG Guo-zhen(Hospital of Traditional Chinese Medicine in Shangrao,Shangrao Jiangxi 334000,China)
出处
《透析与人工器官》
2019年第4期82-84,87,共4页
Chinese Journal of Dialysis and Artificial Organs
关键词
尿毒症
人工造瘘血管
彩色多普勒超声
监测
临床价值
uremia
artificial arteria venous fistula
color Doppler ultrasound
monitoring
clinical value
