CAJ | 학술논문

目的：探讨高频彩超对血液透析造瘘血管检测评估的作用。方法采用GE Vivid 7dimension彩色多普勒检查22例血液透析患者造瘘血管情况，观察血管内外、吻合支管壁改变，附着、沉积情况和腔内血流状态监测及频谱分析。结果22例血液透析患者中，1例桡动脉走行迂曲、2例造瘘口狭窄(钙化斑及血栓形成)、2例头静脉瘤样扩张、1例流出道狭窄1.1mm。其余16例血流通畅，血液透析率达标。结论高频彩超对血液透析造瘘血管检测明确，能够及时发现病灶，辅助诊断和治疗，是临床上直观有效的辅助检查手段之一。
목적：탐토고빈채초대혈액투석조루혈관검측평고적작용。방법채용GE Vivid 7dimension채색다보륵검사22례혈액투석환자조루혈관정황，관찰혈관내외、문합지관벽개변，부착、침적정황화강내혈류상태감측급빈보분석。결과22례혈액투석환자중，1례뇨동맥주행우곡、2례조루구협착(개화반급혈전형성)、2례두정맥류양확장、1례류출도협착1.1mm。기여16례혈류통창，혈액투석솔체표。결론고빈채초대혈액투석조루혈관검측명학，능구급시발현병조，보조진단화치료，시림상상직관유효적보조검사수단지일。
Objective To explore the value of detection and evaluation for high frequency ultrasound used on hemodialysisfistula vascular. Methods Hemodialysisfistula vascular of 22 ccases was examined by GE Vivid 7 dimension color Doppler. Endovascular, changes, attachment, deposition of anastigmatic branch wall were observed. Cavityflow was monitored and spectrum was analyzed.Results 1 cases with radial artery tortuosity, 2 cases with stoma stenosis (calcified plaque and thrombosis), 2 cases with cephalic vein aneurysm, 1 cases with outflow tract stenosis 1.1mm. Bloodflow of the remaining 16 cases is smooth. The qualified rate of hemodialysis is standard.Conclusion The detection is clear that high frequency color Doppler ult rasound was used on hemodialysisfistula vascularwhich canfind the lesions timely and help the diagnosis and treatment. It is intuitive, effective, and one of the auxiliary examination means in clinical.