Clinical value of color Doppler ultrasonography in establishment of autogenous arteriovenous fistula in uremic patients

Yan Zhuo; Wenhong Yu; Jing Ming; Jun Zhang

doi:10.16016/j.1000-5404.201611175

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Clinical value of color Doppler ultrasonography in establishment of autogenous arteriovenous fistula in uremic patients

更新时间：2026-01-09

- Clinical value of color Doppler ultrasonography in establishment of autogenous arteriovenous fistula in uremic patients
- Journal of Third Military Medical University Vol. 39, Issue 7, Pages: 701-704(2017)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201611175
  CLC：
- Received：01 November 2016，
  
  Published：2017-07
- 稿件说明：
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Yan Zhuo, Wenhong Yu, Jing Ming, et al. Clinical value of color Doppler ultrasonography in establishment of autogenous arteriovenous fistula in uremic patients[J]. Journal of Third Military Medical University, 2017, 39(7): 701-704.
DOI：

Yan Zhuo, Wenhong Yu, Jing Ming, et al. Clinical value of color Doppler ultrasonography in establishment of autogenous arteriovenous fistula in uremic patients[J]. Journal of Third Military Medical University, 2017, 39(7): 701-704. DOI： 10.16016/j.1000-5404.201611175.

摘要

Abstract

Objective

To explore the clinical value of color Doppler ultrasonography in the establishment of autogenous arteriovenous fistula in the uremic patients.

Methods

Clinical data of 1 895 uremic patients undergoing the operation to establish internal arteriovenous fistula in our nephrology department from September 2010 to September 2016 were collected and retrospectively analyzed in this study. They were 984 males and 911 females

and at an age ranging from 18 to 79 (mean 57.2). According to with or without preoperative color Doppler ultrasound examination

they were divided into physical examination group and color Doppler ultrasonography group. Duration of surgery

length of incision

one-time success rate of surgery

matching rate of preoperative localization and final surgical site

incidence of fistula occlusion within 1 week postoperatively

rate of fistula maturation in 1 month postoperatively and puncture rate of fistula in 2 months postoperatively were compared between the 2 groups.

Results

In the color Doppler ultrasonography group

the one-time success rate of surgery was 95.8%

the matching rate of preoperative localization and final surgical site was 99.7%

the puncture rate of fistula in 2 months postoperatively was 99.8%

and all of the indicators were significantly higher than those of the physical examination group (

0.05). What's more

the duration of surgery was 63±18 min

length of incision wa

s 3.1±0.4 cm

rate of fistula occlusion within 1 week postoperatively was 3.9%

and all of them were obviously lower as compared with those of the physical examination group (

0.05). Due to no routine examination in the physical examination group

the rate of fistula maturation 1 month postoperatively could not be compared.

Conclusion

Application of color Doppler ultrasonography in the establishment of autogenous arteriovenous fistula can significantly increase one-time success rate of surgery

and decrease length of incision

duration of surgery and early occlusion rate in the patients with uremia. Early postoperative monitoring is helpful to find detect fistula related complications timely.

关键词

Keywords

references

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