彩色多普勒超声评价桡动脉血管条件对自体动静脉造瘘术的临床价值

Clinical value of conditions of radial artery for autogenous arteriovenous fistula ostomy by color Doppler ultrasound

目的探讨彩色多普勒超声评价桡动脉血管条件对自体动静脉造瘘术的临床价值。方法利用彩色多普勒超声对拟行自体动静脉造瘘的133例终末期肾病患者桡动脉血管情况进行检测,与术后内瘘血管参数进行对比分析。结果 133例患者中术前桡动脉正常者95例,异常者38例;进行造瘘手术者131例,因桡动脉血管条件差放弃手术者2例,内瘘失败13例,桡动脉正常组术后成功率(95.8%)高于桡动脉异常组(75%)。桡动脉正常组各血流参数均明显优于异常组,且术后4周吻合口的血流量、血管内径优于术后1周及术前。结论彩色多普勒超声既可以提供术前桡动脉血管条件的多项数据,预测术后内瘘血管功能状态,又可以在术后动态监测内瘘血管情况,具有较好的临床应用价值。

Objective To evaluate the clinical value of the condition of radial artery for autogenous arteriovenous fistula ostomy by color Doppler ultrasound. Methods The condition of radial artery of 133 end-stage renal disease（ ESRD） patients who received autogenous arteri-ovenous fistula ostomy were detected by color Doppler ultrasound,and compared with the postoperative parameters of fistula vascular. Results Among all 133patients,the preoperative radial artery of 95 cases were normal,abnormal in 38 cases. Ostomy surgery performed on 131 cases. Two cases gave up surgery for the poor condition of radial artery,13 cases with fistula failure. The success rate with normal radial artery （95. 8%） was higher than that with the abnormal radial artery（75%）. The blood flow parameters of normal radial artery were significantly better than those of the abnormal radial artery,and 4 weeks after operation,the anastomotic blood flow and blood vessel diameter were better than those 1 week before and after surgery. Conclusion Color Doppler ultrasound that can provide preoperative data of radial artery, predict postoperative the state of fistula vascular,and monitor the conditions of postoperative fistula vascular,with better clinical value.