CAJ | 학술논문

目的：探讨彩色多普勒超声评价桡动脉血管条件对自体动静脉造瘘术的临床价值。方法利用彩色多普勒超声对拟行自体动静脉造瘘的133例终末期肾病患者桡动脉血管情况进行检测，与术后内瘘血管参数进行对比分析。结果133例患者中术前桡动脉正常者95例，异常者38例；进行造瘘手术者131例，因桡动脉血管条件差放弃手术者2例，内瘘失败13例，桡动脉正常组术后成功率(95.8%)高于桡动脉异常组(75%)。桡动脉正常组各血流参数均明显优于异常组，且术后4周吻合口的血流量、血管内径优于术后1周及术前。结论彩色多普勒超声既可以提供术前桡动脉血管条件的多项数据，预测术后内瘘血管功能状态，又可以在术后动态监测内瘘血管情况，具有较好的临床应用价值。
목적：탐토채색다보륵초성평개뇨동맥혈관조건대자체동정맥조루술적림상개치。방법이용채색다보륵초성대의행자체동정맥조루적133례종말기신병환자뇨동맥혈관정황진행검측，여술후내루혈관삼수진행대비분석。결과133례환자중술전뇨동맥정상자95례，이상자38례；진행조루수술자131례，인뇨동맥혈관조건차방기수술자2례，내루실패13례，뇨동맥정상조술후성공솔(95.8%)고우뇨동맥이상조(75%)。뇨동맥정상조각혈류삼수균명현우우이상조，차술후4주문합구적혈류량、혈관내경우우술후1주급술전。결론채색다보륵초성기가이제공술전뇨동맥혈관조건적다항수거，예측술후내루혈관공능상태，우가이재술후동태감측내루혈관정황，구유교호적림상응용개치。
Objective To evaluate the clinical value of the condition of radial artery for autogenous arteriovenous fistula ostomy by color Doppler ultrasound. Methods The condition of radial artery of 133 end-stage renal disease( ESRD) patients who received autogenous arteri-ovenous fistula ostomy were detected by color Doppler ultrasound,and compared with the postoperative parameters of fistula vascular. Results Among all 133patients,the preoperative radial artery of 95 cases were normal,abnormal in 38 cases. Ostomy surgery performed on 131 cases. Two cases gave up surgery for the poor condition of radial artery,13 cases with fistula failure. The success rate with normal radial artery (95. 8%) was higher than that with the abnormal radial artery(75%). The blood flow parameters of normal radial artery were significantly better than those of the abnormal radial artery,and 4 weeks after operation,the anastomotic blood flow and blood vessel diameter were better than those 1 week before and after surgery. Conclusion Color Doppler ultrasound that can provide preoperative data of radial artery, predict postoperative the state of fistula vascular,and monitor the conditions of postoperative fistula vascular,with better clinical value.