中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
16期
18-19
,共2页
尿毒症%血液透析%血管钙化%血管组织钙化染色
尿毒癥%血液透析%血管鈣化%血管組織鈣化染色
뇨독증%혈액투석%혈관개화%혈관조직개화염색
Uremia%Hemodialysis%Vascular calcification%Dyeing of vascular calcification
目的：比较各类尿毒症血液透析患者外周血管钙化评价方法的敏感性和差异性。方法随机选择该院于2013年1月-2014年7月该院收治的30例尿毒症且长期血液透析患者作为研究对象，30例患者因动静脉内瘘失功，在该院行内瘘重建术。术前该组患者均行彩色多普勒超声、X线检查，获得桡动脉血管钙化结果。比较两种检查方法的敏感性。结果术前多普勒超声检查动脉血管钙化检出率为16.7%；X线摄片检查，检出率为33.3%。两种评估方法(两类影像学检测方法)，差异有统计学意义(P<0.05)。影像学方法中，X线摄片检查的检出率最高。结论长期接受血液透析的尿毒症患者多存在外周血管钙化，提示临床治疗中应注意外周血管钙化的诊断；X线摄片检查是影像学检测中较为敏感性的评估方法，应作为首选评估方法。
目的：比較各類尿毒癥血液透析患者外週血管鈣化評價方法的敏感性和差異性。方法隨機選擇該院于2013年1月-2014年7月該院收治的30例尿毒癥且長期血液透析患者作為研究對象，30例患者因動靜脈內瘺失功，在該院行內瘺重建術。術前該組患者均行綵色多普勒超聲、X線檢查，穫得橈動脈血管鈣化結果。比較兩種檢查方法的敏感性。結果術前多普勒超聲檢查動脈血管鈣化檢齣率為16.7%；X線攝片檢查，檢齣率為33.3%。兩種評估方法(兩類影像學檢測方法)，差異有統計學意義(P<0.05)。影像學方法中，X線攝片檢查的檢齣率最高。結論長期接受血液透析的尿毒癥患者多存在外週血管鈣化，提示臨床治療中應註意外週血管鈣化的診斷；X線攝片檢查是影像學檢測中較為敏感性的評估方法，應作為首選評估方法。
목적：비교각류뇨독증혈액투석환자외주혈관개화평개방법적민감성화차이성。방법수궤선택해원우2013년1월-2014년7월해원수치적30례뇨독증차장기혈액투석환자작위연구대상，30례환자인동정맥내루실공，재해원행내루중건술。술전해조환자균행채색다보륵초성、X선검사，획득뇨동맥혈관개화결과。비교량충검사방법적민감성。결과술전다보륵초성검사동맥혈관개화검출솔위16.7%；X선섭편검사，검출솔위33.3%。량충평고방법(량류영상학검측방법)，차이유통계학의의(P<0.05)。영상학방법중，X선섭편검사적검출솔최고。결론장기접수혈액투석적뇨독증환자다존재외주혈관개화，제시림상치료중응주의외주혈관개화적진단；X선섭편검사시영상학검측중교위민감성적평고방법，응작위수선평고방법。
Objective To compare the sensitivity of different evaluation methods for peripheral vascular calcification in patients with uremia and receiving hemodialysis. Methods 30 patients with uremia who were admitted to our hospital from January 2013 July 2014 July and receiving long-term hemodialysis patients were selected as research subjects. All of them received fistula re-construction for arteriovenous internal fistula dysfunction. Before operation, color Doppler ultrasound and X-ray examination were performed on all patients to obtain the radial artery calcification results. Sensitivity of two methods of inspection was compared. Results The preoperative Doppler ultrasonography arterial calcification detection rate was 16.7%;X-ray examination, the detection rate was 33.3%. Two assessment methods (detection method for two kinds of imaging), the significant difference of P< 0.05 was considered statistically significant. Imaging method, X-ray examination of the highest detection rate. Conclusion Long term accep-tance of uremic patients with hemodialysis exists more peripheral vascular calcification, suggesting that attention should be paid to the diagnosis of peripheral vascular calcification in the clinical treatment;X-ray radiography examination is more sensitive in de-tecting method to evaluate imaging, should be the first choice of evaluation method.
