CAJ | 학술논문

目的探讨二维血流显示(B-Flow)技术在肾衰血透患者动静脉瘘中的应用价值。方法本文对31例尿毒症患者人工动静脉瘘进行超声检查，分别采用CDFI、PDI和B-Flow三种模式显示瘘口和动静脉侧血管情况，着重观察吻合口和动静脉侧血管形态、管壁情况以及管腔内血流显示情况，并进行血流动力学检测。结果本组病例共31例检查对象，端端吻合23例，端侧吻合3例，侧侧吻合2例，人造血管吻合3例。吻合口平均内径5mm。吻合口狭窄6例、血栓形成4例。B-Flow技术能同时清晰显示血流和邻近背景组织，与CDFI、PDI结合使用可提高异常图像显示率。B-Flow与CDFI、PDI比较，具有更高帧频、高分辨力和全景显示功能。结论B-Flow技术是监测血透患者治疗过程中造瘘血管状况的有效的辅助检测手段之一。动静脉瘘主要并发症是吻合口狭窄、静脉段瘤样扩张和血栓形成。
목적탐토이유혈류현시(B-Flow)기술재신쇠혈투환자동정맥루중적응용개치。방법본문대31례뇨독증환자인공동정맥루진행초성검사，분별채용CDFI、PDI화B-Flow삼충모식현시루구화동정맥측혈관정황，착중관찰문합구화동정맥측혈관형태、관벽정황이급관강내혈류현시정황，병진행혈류동역학검측。결과본조병례공31례검사대상，단단문합23례，단측문합3례，측측문합2례，인조혈관문합3례。문합구평균내경5mm。문합구협착6례、혈전형성4례。B-Flow기술능동시청석현시혈류화린근배경조직，여CDFI、PDI결합사용가제고이상도상현시솔。B-Flow여CDFI、PDI비교，구유경고정빈、고분변력화전경현시공능。결론B-Flow기술시감측혈투환자치료과정중조루혈관상황적유효적보조검측수단지일。동정맥루주요병발증시문합구협착、정맥단류양확장화혈전형성。
Purpose To explore and understand the practical value with B-Flowin arteriovenous fistula hemodialysis patients with uremia.Methods 31 cases were examined with upper limbs arteriovenous fistulas with uremia and analyzed by CDFI,PDI and B-Flow.It is important to observe conformation of fistula and blood vessel and examine changes on hemodynamics.Results Among 31 patients,23 patients were operated with end-to-end anastomoses,3 cases with end-to-side anastomoses,2 cases with manmade blood vessels.The average diameter of anastomoses orifice is 5mm.Six cases with anastomoses stenosis and 4 cases with thrombus formation.B-Flow technique can display blood flow and background tissue distinctly at the same time.B-Flow include wide bandwidth,high frame rate and high dynamic range for high spatial,temporal and contrast resolution imaging,respectively.Conclusion B-Flow is an effective supplementary detective methods in treating hemodialysis patients with uremia.The main complication involved in is anastomoses stenosis,venus dilatation and anastomoses stricture associated with thrombus happened in individual case.