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血管通道的术前评估:血管映射和手握强度
Bernardo Marques da Silva1,2, João Fernandes2, João Oliveira1
1Nephrology and Renal Transplantation Department, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.
更大的手握强度 (HGS) 与需要血液透析 (HD) 血管接入 (VA) 的患者中更好的远端血管发育有关. 低HGS可能表明血管状况不佳,影响VA的产生和成熟的成功.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 可靠的血管接入 (VA) 对慢性血液透析 (HD) 至关重要.
- 通过双重多普勒超声波 (DUS) 进行血管映射,有助于规划VA建设.
- 手握强度 (HGS) 与慢性病 (CKD) 患者的远部血管发育相关.
研究的目的:
- 分析为VA创建进行血管映射的患者的临床,人体测量和实验室特征.
- 为了研究手握强度和远端血管特征之间的关系.
- 为了确定成功VA建设的预测因素.
主要方法:
- 对成年CKD患者的前性分析,这些患者被转诊进行血管映射.
- 由经验丰富的科医生使用手术前DUS进行的血管映射.
- 用手动动力表测量手握强度 (HGS);周围动脉疾病 (PAD) 定义为ABI<0.9.
主要成果:
- 分析了80名CKD患者 (平均年龄65.7岁,67.5%是男性).
- 较高的HGS与较大的远端血管 (直径≥2mm) 在主导和非主导臂 (p<0.010) 显著相关.
- 基于船只大小的群体之间没有发现显著的人口或并发症差异.
结论:
- 增加的手握强度 (HGS) 与更发达的远部静脉和动脉相关.
- 低HGS可能作为亚最佳血管特征的间接指标.
- HGS可能有助于预测血管接入创建和成熟的成功.
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