彩超定位下绘制血管图引导绳梯穿刺法在血透患者内瘘穿刺中的应用

Application of rope ladder puncture in internal fistula of hemodialysis patients using color ultrasound-guided vascular diagram

目的了解彩超定位下绘制前臂动静脉血管图引导绳梯穿刺法在血透患者动静脉内瘘穿刺中应用价值。方法72例血液透析患者随机分为观察组和对照组,观察组利用彩超绘制前臂动静脉血管图引导绳梯式穿刺,对照组使用区域穿刺法,比较两组一次性穿刺成功率及穿刺并发症发生情况。结果观察组一次性穿刺成功率高于对照组(P<0.01);内瘘血管瘤、血管狭窄、血管闭塞、血管血栓等穿刺并发症低于对照组(P<0.05)。结论彩超定位下绘制前臂动静脉血管图引导绳梯穿刺法运用于血透患者动静脉内瘘穿刺,可提高一次性穿刺成功率,降低穿刺并发症。

Objective To observe the application of rope ladder puncture(RLP)in arteriovenous fistula of hemodialysis patients using color ultrasound-guided arteriovenous diagram(CUGAVD)on the forearm.Methods The arteriovenous fistulae of 72 hemodialysis patients were randomly established using RLP with CUGAVD(observation group)or regional puncture(control group).Single puncture success rate and puncture complications were compared between two groups.Results Single puncture success rate was higher(P<0.01),while fistula hemangioma,fistula stenosis,vascular occlusion,and thrombosis were lower(P<0.05)in observation group compared with control group.Conclusion RLP with CUGAVD on the forearm can improve single puncture success rate and reduce puncture complications in hemodialysis patients.