Objective      To evaluate the value of ultrasound-guided deep vein catheterization in the establishment of vascular access for hemodialysis patients. MethodsA total of 200 dialysis patients admitted in our department in 2015

were subjected in the study. Based on 2∶1 ratio of the treatment sequence number

the participants were divided into ultrasound localization group (group A

n=132) and anatomical landmarks of the body surface group (group B

n=68). The success rate of catheterization

success rate of one-time puncture

puncture time

and complications (infection within 2 weeks after catheter insertion

hematoma

and puncture of the artery) were compared between the 2 groups. Statistical analyses (student’s t test and Chi square test) were carried out by SPSS 16.0 software. Results    The success rate of catheterization were 100% in the 2 groups (P0.05). The success rate of one-time puncture into the internal jugular vein and femoral vein was 96.0% and 93.3% respectively in group A

significantly higher than those of group B (70.0% and 62.5%). The average time of internal jugular vein and femoral vein punctures was 7.15±2.59 and 7.43±3.29 min respectively in group A

significantly shorter than those of group B (11.24±6.49 and 12.80±5.78 min

P0.05). Only 1 patient (0.7%) from group A had complication (hematoma)

but 4 (5.8%) out of group B (arterial puncture and hematoma). The infection rate within 2 weeks was 2.2%(3 cases) in group A

less than 5 cases (7.3%) in group B. Conclusion     Ultrasound-guided deep venous catheterization can improve the success rate of one-time puncture

reduce the operation time

and decrease the incidence of complications. It is worthy of promotion in clinical practice for hemodialysis.