尿毒症患者人工造瘘血管的彩色多普勒超声检测作用分析.docxVIP

尿毒症患者人工造痿血管的彩色多普勒超声检测作用分析 濮伟吴玉琴 (江苏省苏州市吴江区第一人民医院功能科215200) 【摘要】目的:针对尿毒症患者，探究分析彩色多普勒超声对其人工造痿血 管的检测作用。方法：从20口年4月?2012年12月在我院就医的尿毒症患者 中，选择采用血液透析的患者83例，对其进行人工造痿术前后，应用彩色多普 勒超声检测其动静脉状况。主要观察内痿动静脉内径、吻合口、血管壁和管腔内 外情况，检测腔内的血流状态并对其进行频谱分析。结果：83例患者中，60例 患者血流通畅吻合口无异常、血管充盈好，10例患者形成痿口血栓，8例患者吻 合口处狭窄，5例患者出现静脉瘤样扩张。结论：彩色多普勒超声对尿毒症患者 人工造痿血管手术成败有良好预测作用，是选择血液透析治疗的尿毒症患者关于 血管造痿情况较佳的辅助检测手段。 【关键词】尿毒症；人工造痿血管；彩色多普勒超声 【中图分类号】R 【文献标识码】A 【文章编号】2095-1752 (2014) 17-0037-02 Analysis the Role of Color Doppler Ultrasound Monitoring in Artificial Arteria — Venous Fistula for Uremic Patients 【Abstract] Objective: For patients with uremia, to explore Color Doppler ultrasound of its role in human vascular fistula detection. Methods: Choose 83 patients who use hemodialysis from uremic patients in our hospital from April 2011 to December 2012 for medical treatment. After and before its artificial colostomy, color Doppler ultraso und was used to detect the status of arteriove no us. Fistula vein diameter, anastomotic vessel wall, lumen internal and external conditions was mainly observed. Blood flow in the cavity was detected and its spectral was analyzed. Results: About the 83 patients, 60 cases of blood flow with anastomotic patency has no abnormal vascular and filling good, 10 cases of fistula formation in patients with thrombosis, stenosis at the anastomosis in 8 patients,5 patients had venous ectasia? Conclusion: For patients with uremia Color Doppler ultrasound is a good predict!on about the success of artificial fistula surgery and is a best assisted detection means about fistula cases for hemodialysis patients with uremia? [Key words] uremia; artificial fistula vessels; Color Doppler ultrasound 慢性肾衰的末期，即为尿毒症。各种肾脏疾病综合，最终发展为慢性肾衰竭 ,更具体指的是肾脏各种功能丧失而表现出的一系列症状和各种代谢紊乱组 成的临床综合征。属于高危疾病，对患者的生命和生活质量有严重的影响。因此 应认真对待尿毒症，及吋选择合理的治疗。血液透析是i种效果良好的治疗方式 ⑵，透析前的造痿手术是透析治疗成功的可靠保障。全面了解肾脏损害程度， 对患者造痿术后上肢血管的进行超声检查，进而建立和维持血管通路是透析的必 要条件。彩色多普勒超声可以帮助人工造痿术的顺利完成[3],术前检测发生慢 性肾衰的原因，帮助选择造痿血管；术后用来监测人工动静脉痿情况，提供其功 能状况信息。可见彩色多普勒超声是一种高效、可靠的检测手段。