超声在监测血液透析用动静脉内瘘并发症中的应用价值被引量：3

Application Value of Ultrasound in Monitoring Complication of Arteriovenous Fistula for Hemodialysis

下载PDF

导出

摘要目的探讨超声在监测血液透析用动静脉内瘘（AVF）并发症中的应用价值。方法血流透析用AVF在临床上出现上肢肿胀、局部肿胀、透析时流量不足、震颤减弱或消失等症状或体征，用彩色多普勒超声进行探查，了解动静脉内瘘并发症情况。结果53例AVF均为桡动脉．头静脉吻合，超声检查发现狭窄13例，流量减低22例，血栓形成10例，头静脉瘤样扩张10例，斑块形成4例，周围血肿压迫2例。结论超声可以及时发现并诊断AVF的并发症，为临床治疗提供重要参考，有利于延长AVF的使用寿命。 Objective To evaluate the application value of ultrasound in momtormg complication of arteriovenous fistula（AVF） for hemodialysis.Methods AVF for hemodialysis were examined with color Doppler ultrasound（CDUS） to get information of complication when some clinic symptoms or signs such as swollen upper extremity, partly swelling,weaken or vanished thrill of results were found.Results All of the 53 AVF were radiocephalic AVF.13 cases of stenosis,22 cases of low blood flow, lO cases of thrombosis,10 cases of aneurysm of cephalic vein,4 cases of plaque and 2 cases of compression from around hematoma were diagnosed by ultrasound. Conclusion Complication of AVF for hemodialysis could be diagnosed by ultrasound promptly.It can provide important reference for clinical therapy and is helpful to extend the service life of AVF.

作者蔡晓峰王阿军查月琴陈凤林王一琳

机构地区苏州大学附属第一医院超声科苏州大学附属第一医院血液透析中心

出处《中国血液流变学杂志》 CAS 2012年第2期357-360,共4页 Chinese Journal of Hemorheology

关键词超声血液透析动静脉内瘘并发症 ultrasound hemodialysis arteriovenous fistula complication

分类号 R445.1 [医药卫生—影像医学与核医学]

引文网络
相关文献

参考文献9

1Vascular Access Work Group.Clinical practice guidelines for vascular access[J].Am J Kidney Dis,2006,48(Suppl 1):S248～S273.
2Sidawy AN,Spergel LM,Besarab A,et al.The Society for Vascular Surgery:clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access[J].J Vasc Surg,2008,48(5 Suppl):2S～25S.
3Wong V,Ward R,Taylor J,et al.Reprinted article "Factors associated with early failure of arteriovenous fistulae for haemodialysis access"[J].Eur J Vasc Endovasc Surg,2011,42(Suppl 1):S48～S54.
4萧淑宜,柳建华.彩色多普勒超声技术在血液透析动静脉瘘中的作用[J].广州医药,2009,40(4):38-40. 被引量：5
5Lauvao LS,Ihnat DM,Goshima KR,et al.Vein diameter is the major predictor of fistula maturation[J].J Vasc Surg,2009,49(6):1499～1504.
6郑露,张磊,戎殳,叶朝阳.老年自体动静脉内瘘在血液透析中的应用[J].中国血液净化,2004,3(12):649-651. 被引量：21
7Fahrtash F,Kairaitis L,Gruenewald S,et al.Defining a significant stenosis in an autologous radio-cephalic arteriovenous fistula for hemodialysis[J].Semin Dial,2011,24(2):231～238.
8Tan PL,Gibson M.Central venous catheters:the role of radiology[J].Clin Radiol,2006,61(1):13～22.
9曹正江,崔天蕾,金丽珠,周莉,付平,唐万欣,苏白海,胡章学,陶冶.CT血管成像和超声在血液透析动静脉内瘘功能障碍诊断中的应用比较[J].重庆医学,2011,40(23):2324-2326. 被引量：17

二级参考文献30

1郑露,张磊,戎殳,叶朝阳.老年自体动静脉内瘘在血液透析中的应用[J].中国血液净化,2004,3(12):649-651. 被引量：21
2马昆,刘健,桑晓红.肘部桡动脉与并行深静脉内瘘的建立和临床使用[J].中国血液净化,2005,4(5):281-282. 被引量：2
3丁红,王文平,黄备建,何年安,李超伦,魏瑞雪,张晖.实时超声造影对肝血管瘤血流动力学的检测[J].中华超声影像学杂志,2005,14(7):517-520. 被引量：14
4Konner K,Nonnast-Daniel B,Ritz E.The Arteriovenous Fistula[J].J Am Soc Nephrol,2003,14:1669-1680.
5Dix FP,Khan Y,Al-Khaffaf H.The brachial artery-basilic vein arterio-venous fistula in vascular access for Haemodialysis review paper[J].European Journal of Vascular and Endovascular Surgery,2006,31(1):70-79.
6[1]Brescia MJ, Cimino JE, Appel K. Chronic hemodialysis using venipuncture and surgically created arteriovenous fistula[J]. New Engl J Med,1966,275(20): 1089 - 1092
7[2]Anonymous. NKF - DOQI clinical practice guidelines for vascular access. National Kidney Foundation- Dialysis Outcomes Quality Initiative [J].Am J Kidney Dis, 1997,30 (Suppl 3): S150- 191
8[3]Lin SL, Huanq CH, Chen HS, et al. Effects of age and diabetes on blood flow rate and primary outcome of newly created hemodialysis arteriovenous fistulas[J]. Am J Nephrol, 1998,18:96 - 100
9[8]Burger H, Kluchert - B A, Kootstra G. Survival of arteriovenous fistulas and Shunts for hemodialysis[ J ]. Eur J Surg, 1995,161: 327 - 328
10车霞静,严玉澄,倪兆慧,顾乐怡,钱家麒.超声稀释法监测血液透析患者的内瘘功能[J].中华肾脏病杂志,2007,23(8):502-504. 被引量：8