彩色多普勒超声监测尿毒症患者人工造瘘血管的应用评价

Evaluation of the Monitoring of Colored Doppler Ultrasound in Artificial Arteria-Venous Fistula in Patients with Uremia

目的探讨彩色多普勒超声检查尿毒症患者人工造瘘血管的临床应用价值。方法应用彩色多普勒超声检查30例尿毒症患者的人工造瘘血管,重点观察吻合口和内瘘动静脉的内径、血管壁及管腔内、外情况,并对腔内血流状态进行检测和频谱分析。结果30例尿毒症患者中,12例出现一种或一种以上并发症,其余18例血流通畅,血液透析量达标。结论彩色多普勒超声是监测尿毒症患者人工造瘘血管的有效辅助检查手段之一,能及时发现并发症,为临床采取适当措施提供参考意见。

Objective To evaluate the clinical application of the monitoring effect of color Doppler ultrasound in artificial arteria-venous fistula in patients with uremia. Method 30 uremia patients with artificial arteria-venous fistula were enrolled. The vascular prosthesis, arteria-venous inside diameter, vessel wall, inside and outside situation and blood flow were examined and analyzed. Result In 30 uremia patients, 12 cases present one kind or one kind of above complication, other 18 cases blood stream is unobstructed, hemodialysis quantity standards. Conclusion Colored Doppler ultrasound is a effective accessorial means for monitoring artificial arteria-venous fistula in patients with uremia, can discover the complication promptly, for clinical takes the adequate measures to provide the advisory opinion.