[1]李元春,常俊昭.彩色多普勒超声评估自体动静脉内瘘成型术后患者血流动力学和内瘘成熟情况的价值[J].医学信息,2023,36(01):129-131,140.[doi:10.3969/j.issn.1006-1959.2023.01.026]
　LI Yuan-chun,CHANG Jun-zhao.The Value of Color Doppler Ultrasound in Evaluating Hemodynamics and Fistula Maturation in Patients After Autologous Arteriovenous Internal Fistula Plasty[J].Journal of Medical Information,2023,36(01):129-131,140.[doi:10.3969/j.issn.1006-1959.2023.01.026]
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彩色多普勒超声评估自体动静脉内瘘成型术后患者血流动力学和内瘘成熟情况的价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年01期
页码:
129-131,140
栏目:
临床研究
出版日期:
2023-01-01

文章信息/Info

Title:
The Value of Color Doppler Ultrasound in Evaluating Hemodynamics and Fistula Maturation in Patients After Autologous Arteriovenous Internal Fistula Plasty
文章编号:
1006-1959（2023）01-0129-04
作者:
李元春; 常俊昭
（成都市新都区中医医院肾病风湿科，四川 成都 610000）
Author(s):
LI Yuan-chun; CHANG Jun-zhao
(Department of Nephrology and Rheumatology,Xindu District Hospital of Traditional Chinese Medicine,Chengdu 610000,Sichuan,China)
关键词:
彩色多普勒超声; 自体动静脉内瘘成型术; 血流动力学; 内瘘成熟
Keywords:
Color Doppler ultrasound; autologous arteriovenous internal fistula plasty; Hemodynamics; Maturity of Internal Fistula
分类号:
R445.1；R692.5
DOI:
10.3969/j.issn.1006-1959.2023.01.026
文献标志码:
A
摘要:
目的 观察彩色多普勒超声在自体动静脉内瘘成型术后患者血流动力学和内瘘成熟情况评估中的临床价值。方法 选取2019年1月-2021年12月在我院行自体动静脉内瘘成型术的80例患者为研究对象，手术前后均对患者进行彩色多普勒超声检查，比较手术前后患者桡动脉和头静脉血流动力学指标；术后2个月，依据内瘘成熟标准，将患者分为成熟组（59例）和未成熟组（21例），比较两组桡动脉血流动力学指标、超声征象特点。结果 术后7、30、60 d桡动脉收缩期峰值流速（PSV）、舒张期峰值流速（EDV）均高于术前，血管阻力指数（RI）均低于术前，差异有统计学意义（P＜0.05）；患者术后7、30、60 d PSV和EDV比较，差异无统计学意义（P＞0.05）；患者术后7、30、60 d RI比较，差异有统计学意义（P＜0.05）；术后7、30、60 d桡动脉和头静脉直径、血流量均大于术前，差异有统计学意义（P＜0.05）；但术后7、30、60 d桡动脉和头静脉直径、血流量比较，差异无统计学意义（P＞0.05）；术后60 d，成熟组桡动脉血管直径、血流速度、PSV、EDV均大于未成熟组，RI小于未成熟组，差异有统计学意义（P＜0.05）；自体动动静脉成熟患者与未成熟患者的超声征象存在一定差异。结论 彩色多普勒超声评估自体动静脉内瘘成型术后患者血流动力学和内瘘成熟情况具有重要的价值，可通过评估血流动力学各指标，了解内瘘成熟情况，为临床治疗该病提供参考。
Abstract:
Objective To observe the clinical value of color Doppler ultrasound in evaluating hemodynamics and fistula maturation in patients after autologous arteriovenous internal fistula plasty.Methods From January 2019 to December 2021,80 patients who underwent autologous arteriovenous internal fistula plasty in our hospital were selected as the research objects. Color Doppler ultrasonography was performed on the patients before and after the operation, and the hemodynamic indexes of radial artery and cephalic vein were compared before and after the operation. Two months after operation, the patients were divided into mature group (59 cases) and immature group (21 cases) according to the mature criteria of internal fistula. The hemodynamic indexes and ultrasonic signs of radial artery were compared between the two groups.Results The peak systolic velocity (PSV) and end-diastolicvelocity (EDV) of radial artery at 7, 30 and 60 days after operation were higher than those before operation, and the vascular resistance index (RI) was lower than that before operation, the differences were statistically significant (P<0.05). There was no significant difference in PSV and EDV among 7 d, 30 d and 60 d after operation (P>0.05). There was significant difference in RI among 7 d, 30 d and 60 d after operation, the difference was statistically significant (P<0.05). The diameter and blood flow of radial artery and cephalic vein at 7 d, 30 d and 60 d after operation were significantly higher than those before operation, the difference was statistically significant (P<0.05). However, there was no significant difference in the diameter and blood flow of radial artery and cephalic vein at 7, 30 and 60 days after operation (P>0.05). At 60 days after operation, the diameter, blood flow velocity, PSV and EDV of radial artery in mature group were higher than those in immature group, and RI was lower than that in immature group, the difference was statistically significant (P<0.05). There had some differences in ultrasonic signs between mature and immature patients with autogenous arteriovenous.Conclusion Color Doppler ultrasound is of great value in evaluating the hemodynamics and fistula maturation of patients after autologous arteriovenous internal fistula plasty. By evaluating the hemodynamic indexes, we can understand the maturation of internal fistula and provide reference for clinical treatment of the disease.

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更新日期/Last Update: 1900-01-01