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[彩色多普勒超声在血液透析动静脉内瘘建立、成熟及评估中的作用]

[The role of colour Doppler ultrasound in the creation, maturation and evaluation of arteriovenous fistula for hemodialysis].

作者信息

Castelbranco Orlanda, Soares Fátima, Pinho Carlos

机构信息

Serviço de Cirurgia Vascular do Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental - Departamento de Neurologia do Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Portugal.

出版信息

Rev Port Cir Cardiotorac Vasc. 2012 Jan-Mar;19(1):31-6.

Abstract

Chronic renal failure is a pathophysiologic process that can be lead to a loss of renal function and consequently to dialysis or transplantation. Currently, hemodialysis is dependent on the creation of arteriovenous fistulas, grafts and polytetrafluoroethylene double lumen catheters. However, fistulas have greater durability and lower rates of failure and infection. The Colour Doppler has assumed an important role in the arterial and venous mapping for the creation of fistulas as well at screening for complications. The aim of this study was to identify the sonographic criteria in the pre-operative period of maturation and evaluation throughout time of arteriovenous fistulas for hemodialysis.

摘要

慢性肾衰竭是一种病理生理过程,可导致肾功能丧失,进而需要透析或移植。目前,血液透析依赖于动静脉内瘘、移植物和聚四氟乙烯双腔导管的建立。然而,内瘘具有更高的耐用性、更低的失败率和感染率。彩色多普勒在动静脉内瘘建立的动静脉定位以及并发症筛查中发挥着重要作用。本研究的目的是确定血液透析动静脉内瘘成熟术前阶段的超声标准,并对其随时间的情况进行评估。

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