| 宋烨,陈悦,张芸.尿毒症患者人工造瘘血管通道彩色多普勒血流分析[J].中国医学影像技术,1999,15(10):812~813 |
| 尿毒症患者人工造瘘血管通道彩色多普勒血流分析 |
| Hemodynamic Analysis of Artificial Fistula by Color Doppler Ultrasound in Patients with Uremia |
| 投稿时间：1999-04-22 |
| DOI： |
| 中文关键词: 彩色多普勒血流图 血液透析 动静脉瘘 血液动力学 |
| 英文关键词:Color Doppler flow image Hemodialysis Arteriovenous fistula Hemodynamics |
| 基金项目: |
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| 中文摘要: |
| 目的 了解和明确彩色多普勒超声分析在肾衰血透患者动静脉瘘中的应用价值。方法 本文对25例尿毒症患者上肢动静脉瘘进行常规彩色多普勒血流观察和分析,并分别测量有关动静脉瘘口的直径、平均血流速度(MV)、阻力指数(RI) 、搏动指数(PI)、并计算平均血流量。结果 25 例患者中端端吻合21 例,主要并发症是静脉段瘤样扩张,个别病例发生吻合口狭窄合并血栓形成(端侧吻合) .吻合口平均内径5mm ,平均血流量为220ml/min.结论 彩色多普勒血流分析是血透患者治疗过程中有效的辅助检测手段之一。动静脉吻合口的大小决定着血液透析疗效的好坏和并发症的多少。 |
| 英文摘要: |
| Purpose To understand and explore the practical value with color Doppler flow image (CDFI) in arteriovenous fistula hemodialysis patients with uremia. Methods Upper limbs arteriovenous fistulas of 25 patients wth uremia were observed and analyzed by CDFI, and measured diameter、Mv、RI、PI and average volume. Results 21 patients were operated with terminoterminal anastomsis in 25 patients. The main complication involved in is hemangioma of vien, and anastomosis stricture associated with thrombus happened in individual case. The average diameter is 5 mm, and average volume is 220ml/min. Conclusion CDFI is one of the effective supplementary detective methods in treating hemodialysis patients with uremia. The size of arteriovenous anastomosis determines the therapeutic effects of hemodialysis and numbr of complication. |
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