| 腕部桡动脉-头静脉内瘘成形术前及早期术后超声检查的临床价值 |
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| 引用本文： | 侯国存,何斌,闫永宏,孙秀丽,侯毅,殷娜,冯国徵,陈爱珍.腕部桡动脉-头静脉内瘘成形术前及早期术后超声检查的临床价值[J].中国血液净化,2019(4):266-269. |
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| 作者姓名： | 侯国存 何斌 闫永宏 孙秀丽 侯毅 殷娜 冯国徵 陈爱珍 |
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| 作者单位： | 包头市中心医院肾内科血液透析中心;包头市第三医院检验科;包头市中心医院超声科 |
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| 摘 要： | 目的探讨腕部桡动脉-头静脉内瘘(radiocephalic arteriovenous fistula, RC-AVF)手术术前和术后2周彩色多普勒超声检查在预测内瘘成熟的临床价值。方法选自2015年10月～2017年12月于包头市中心医院血液透析中心行腕部RC-AVF患者,术前和术后2周行彩色多普勒超声检查。自体动静脉内瘘成熟的定义为可进行双针穿刺,泵控血流量>200ml/min,维持至少6次连续血液透析治疗。结果 RC-AVF术后2周超声检查头静脉内径(cephalic vein internal diameter,Dcv-术后)和肱动脉收缩期峰值流速(brachial artery peak systolic velocity,PSVbr-术后)是AVF成熟的独立危险因素(χ~2=48.253,P<0.001)。ROC曲线分析示Dcv-术后的曲线下面积(area under the curve,AUC)为0.939,4.285mm为最佳临界值;PSVbr-术后的AUC为0.830,134.750cm/s为最佳临界值。结论腕部RC-AVF术前超声检查与内瘘成熟无相关性,术后2周超声检查显示Dcv-术后>4.285mm是内瘘日后成熟的最佳预测指标,为临床早期干预提供重要参考。
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| 关 键 词： | 腕部桡动脉-头静脉内瘘 成熟 彩色多普勒超声 头静脉内径 肱动脉收缩期峰值流速 |
The value of color Doppler ultrasound examination of wrist radiocephalic arteriovenous fistula to predict maturity |
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| HOU Guo- cun,HE Bin,YAN Yong- hong,SUN Xiu- li,HOU Yi,YIN Na,FENG Guo- zhen,CHEN Ai-zhen.The value of color Doppler ultrasound examination of wrist radiocephalic arteriovenous fistula to predict maturity[J].Chinese Journal of Blood Purification,2019(4):266-269. |
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| Authors: | HOU Guo- cun HE Bin YAN Yong- hong SUN Xiu- li HOU Yi YIN Na FENG Guo- zhen CHEN Ai-zhen |
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| Institution: | (Department of Nephrology,Baotou Central Hospital,Baotou 014040,China;Department of Nephrology,Baotou Third Hospital,Baotou 014040,China;Department of Ultrasonography,Baotou Central Hospital,Baotou 014040,China) |
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| Abstract: | HOU Guo- cun;HE Bin;YAN Yong- hong;SUN Xiu- li;HOU Yi;YIN Na;FENG Guo- zhen;CHEN Ai-zhen(Department of Nephrology,Baotou Central Hospital,Baotou 014040,China;Department of Nephrology,Baotou Third Hospital,Baotou 014040,China;Department of Ultrasonography,Baotou Central Hospital,Baotou 014040,China) |
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| Keywords: | Wrist radiocephalic arteriovenous fistula Maturation Color Doppler Ultrasound Cephalicvein internal diameter Brachial artery peak systolic velocity |
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