首页|应用超声检查血液透析患者人工动静脉瘘血流的效果

应用超声检查血液透析患者人工动静脉瘘血流的效果

扫码查看
目的 探究应用超声检查血液透析患者人工动静脉瘘血流的效果.方法 选取2021 年 1 月~2023 年 1 月我院收治的 160 例血液透析患者,将其分为观察组和对照组,每组各 80例.应用造影和彩色多普勒超声对患者人工动静脉瘘进行检查,分析超声在血液透析患者人工动静脉瘘血流检查中的作用.结果 造影结果显示:动脉静脉内瘘功能正常者 59 例,动静脉内瘘功能异常者 21 例,造影检查 10 例血栓、7 例狭窄、3 例头静脉瘤样扩张、1 例假性动脉瘤.彩色多普勒超声检查结果显示:10 例血栓、诊断准确率 100%;5 例狭窄,诊断准确率 71.43%;2 例头静脉瘤样扩张,诊断准确率 66.67%;1 例假性动脉瘤,诊断准确率 100%.结论 对于血液透析人工动静脉内瘘患者应用超声检查能够准确反映患者血流状态,对于血栓、狭窄等动静脉内瘘并发症具有较高诊断率,可为临床干预提供良好诊断参考.
Effect of Ultrasonography on Blood Flow in Hemodialysis Patients with Artificial Arteriovenous Fistula
Objective:To explore the effect of ultrasonography on blood flow in hemodialysis patients with artificial arteriovenous fistula.Methods:A total of 160 hemodialysis patients admitted to the our hospital from January 2021 to January 2023 were selected,and were divided into the observation group and the control group,with 80 cases in each group.Contrast-enhanced radiography and color Doppler ultrasonography were used to examine artificial arteriovenous fistulas in these patients,and the effect of ultrasound on blood flow examination in hemodialysis patients with artificial arteriovenous fistulas was analyzed.Results:The results of angiography showed that 59 cases had normal arteriovenous fistula function and 21 cases had abnormal arteriovenous fistula function,including 10 cases of thrombus,7 cases of stenosis,3 cases of phlebectasia and 1 case of pseudoaneurysm.The results of color Doppler ultrasonography showed that the diagnostic accuracy was 100%in 10 cases of thrombus,71.43%in 5 cases of stenosis,66.67%in 2 cases of aneurysmal dilatation of cephalic vein and 100%in 1 case of pseudoaneurysm.Conclusion:Ultrasonography can accurately reflect the blood flow status in hemodialysis patients with artificial arteriovenous fistula and has a high diagnostic rate for complications such as thrombus and stenosis,which can provide good diagnostic references for clinical intervention.

hemodialysisartificial arteriovenous fistulaultrasonographycomplications

吴奕珍

展开 >

344400 江西抚州,宜黄县第一人民医院

血液透析 人工动静脉内瘘 超声检查 并发症

2024

透析与人工器官
天津市泌尿外科研究所 中国生物医学工程学会人工器官分会

透析与人工器官

影响因子:0.809
ISSN:1005-0809
年,卷(期):2024.35(2)
  • 13