首页|彩色多普勒超声在自体动静脉内瘘术前评估、术后监测中的应用研究

彩色多普勒超声在自体动静脉内瘘术前评估、术后监测中的应用研究

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目的 分析自体动静脉内瘘(AVF)术前评估、术后监测中应用彩色多普勒超声的价值。方法 本研究选取的样本为2021年1月—2023年1月在监利市人民医院接受动静脉内瘘术(AVF术)的患者,共计115例。根据术后3个月的随访结果,将患者分为A组(成功组,93例)和B组(失败组,22例)。研究对象在术前以及术后1个月、2个月、3个月分别接受了彩色多普勒超声检测,以记录其超声特征。结果 术前,A组与B组患者在桡动脉内径和头静脉内径方面存在差异,其中B组患者的头静脉内径较小;在桡动脉血流量和头静脉血流量方面,B组患者亦较低。术后3个月的随访期间,在桡动脉内径、头静脉内径方面,B组患者的头静脉内径较A组小;在桡动脉血流量、头静脉血流量以及峰值血流速度(PSV)方面,B组患者较A组低;而在舒张末期血流速度(EDV)方面,B组患者较A组快;在阻力指数(RI)方面,B组患者较A组高(P<0。05)。结论 AVF术患者采用彩色多普勒超声监测术前及术后血管情况效果较好,可有效监测患者术前术后桡动脉、头静脉血管内径、血流量情况,对临床评估AVF术后患者内瘘通道成功情况有积极作用。
Application Research of Color Doppler Ultrasound in Preoperative Evaluation and Postoperative Monitoring of Autogenous Arteriovenous Fistula
Objective To analyze the value of color Doppler ultrasound in preoperative evaluation and postoperative monitoring of autogenous arteriovenous fistula (AVF). Methods The paper chose 115 patients with AVF surgery in Jianli City People's Hospital from January 2021 to January 2023 as study samples,and divided them into group A (the successful group,93 cases) and group B (the failed group,22 cases) based on fistula status at the end of 3-month follow-up after surgery. Color Doppler ultrasound detection was carried out before surgery and 1,2,and 3 months after surgery,ultrasound features were recorded. Results Before surgery,radial artery diameter and jugular vein diameter in group A was less than B,radial artery blood flow,jugular vein blood flow in group A was lower than B. During 3-month follow-up period after surgery,radial artery diameter,jugular vein diameter in group A was less than group B,radial artery blood flow,jugular vein blood flow and PSV in group A was lower than group B. During 3-month followup period after surgery,the EDV in group A was faster than group,the RI in group A was higher than group B,with P<0.05. Conclusion Color Doppler ultrasound can achieve good preoperative and postoperative vascular monitoring conditions of AVF patients,can monitor inner diameter and blood flow of radial artery and jugular vein vessels before and after surgery effectively,which has significant value in clinical evaluation of success of arteriovenous fistula of AVF patients after surgery.

Color Doppler ultrasoundAutogenous arteriovenous fistula surgeryPreoperative evaluationPostoperative monitoring

刘鹏英

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监利市人民医院超声科,湖北 监利 433300

彩色多普勒超声 自体动静脉内瘘术 术前评估 术后监测

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(29)