CAJ | 학술논문

目的：观察并分析采用超声技术对血液透析患者动静脉造瘘手术前后临床治疗和诊断的应用情况。方法对我院收治的72例尿毒症血液透析患者动静脉造瘘手术前和手术后进行超声检测，选择合适的血管并对人工动静脉瘘的功能进行评价分析。结果超声显示血流量低的造瘘成功率为25.00%；正常血流量造瘘成功率55.56%；血流量高造瘘成功率19.44%。正常组成功率明显高于高、低血流量组。手术后1、2、4周内患者的血流量和血流速度在稳定增长。结论采用超声技术对患者血液透析动静脉造瘘进行诊断和监测，有利于提高该疾病的临床诊断和治疗水平，对临床进一步推广应用有一定作用。
목적：관찰병분석채용초성기술대혈액투석환자동정맥조루수술전후림상치료화진단적응용정황。방법대아원수치적72례뇨독증혈액투석환자동정맥조루수술전화수술후진행초성검측，선택합괄적혈관병대인공동정맥루적공능진행평개분석。결과초성현시혈류량저적조루성공솔위25.00%；정상혈류량조루성공솔55.56%；혈류량고조루성공솔19.44%。정상조성공솔명현고우고、저혈류량조。수술후1、2、4주내환자적혈류량화혈류속도재은정증장。결론채용초성기술대환자혈액투석동정맥조루진행진단화감측，유리우제고해질병적림상진단화치료수평，대림상진일보추엄응용유일정작용。
Objective To observe and analyze the application of ultrasonography to clinical treatment and diagnosis of patients with hemodialysis before and after artificial arteriovenous fistula. Methods A total of 72 cases with uremia hemodialysis treated in our hospital received ultrasonography before and after artificial arteriovenous fistula. The suit-able blood vessels were selected, and the functions of artificial arteriovenous fistula were evaluated and analyzed. Re-sults The ultrasound indicated that the success rate of fistulization with low blood flow was 25.00%, and that with nor-mal blood flow was 55.56%, and that with high blood flow was 19.44%. The success rate of the normal group was evi-dently higher than that of the high or low blood-flow group. The blood flow and blood velocity of patients 1 week, 2 weeks and 4 weeks after operation increased steadily. Conclusion Applying ultrasonography to diagnose and monitor the patients with hemodialysis of artificial arteriovenous fistula can improve the diagnostic level and treatment level for the disease, which can be promoted and applied in clinical practice.