不同方法评价尿毒症血液透析患者外周血管钙化探究

Sensitivity of Different Evaluation Methods for Peripheral Vascular Calcification in Patients with Uremia and Receiving Hemodialysis

目的比较各类尿毒症血液透析患者外周血管钙化评价方法的敏感性和差异性。方法随机选择该院于2013年1月—2014年7月该院收治的30例尿毒症且长期血液透析患者作为研究对象,30例患者因动静脉内瘘失功,在该院行内瘘重建术。术前该组患者均行彩色多普勒超声、X线检查,获得桡动脉血管钙化结果。比较两种检查方法的敏感性。结果术前多普勒超声检查动脉血管钙化检出率为16.7%;X线摄片检查,检出率为33.3%。两种评估方法(两类影像学检测方法 ),差异有统计学意义(P<0.05)。影像学方法中,X线摄片检查的检出率最高。结论长期接受血液透析的尿毒症患者多存在外周血管钙化,提示临床治疗中应注意外周血管钙化的诊断;X线摄片检查是影像学检测中较为敏感性的评估方法,应作为首选评估方法 。

Objective To compare the sensitivity of different evaluation methods for peripheral vascular calcification in patients with uremia and receiving hemodialysis.Methods 30 patients with uremia who were admitted to our hospital from January 2013 July 2014 July and receiving long-term hemodialysis patients were selected as research subjects.All of them received fistula reconstruction for arteriovenous internal fistula dysfunction.Before operation,color Doppler ultrasound and X-ray examination were performed on all patients to obtain the radial artery calcification results.Sensitivity of two methods of inspection was compared.Results The preoperative Doppler ultrasonography arterial calcification detection rate was 16.7%;X-ray examination,the detection rate was 33.3%.Two assessment methods（detection method for two kinds of imaging）,the significant difference of P〈0.05 was considered statistically significant.Imaging method,X-ray examination of the highest detection rate.Conclusion Long term acceptance of uremic patients with hemodialysis exists more peripheral vascular calcification,suggesting that attention should be paid to the diagnosis of peripheral vascular calcification in the clinical treatment;X-ray radiography examination is more sensitive in detecting method to evaluate imaging,should be the first choice of evaluation method.