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在血液透析患者中,血管接入早期失败的预测因素
Min Jun Kim1, Hyunmin Ko2, Suh Min Kim1
1Department of Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Annals of surgical treatment and research
|May 10, 2024
概括
双重超声测量静脉直径可以预测早期的血液透析血管接入失败. 对动脉静脉和动脉静脉移植的特定静脉直径测量预测了失败,有助于监测策略.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是一门学科.
背景情况:
- 血管接入对于血液透析至关重要.
- 血管接入的早期失败会影响患者的治疗结果.
- 早期失败的预测因素需要进一步调查.
研究的目的:
- 为了确定血液透析患者早期血管接入失败的发生率.
- 确定双重超声参数,预测动脉静脉 (AVF) 和动脉静脉移植 (AVG) 的早期失败.
主要方法:
- 对189名接受AVF或AVG创建用于血液透析的患者的回顾性审查.
- 早期失败定义为在创建后6个月内进行干预.
- 对双重超声波参数的分析,包括静脉直径,动脉直径和流量.
主要成果:
- 整体早期失败率为19.0% (36/189名患者).
- 对于AVF,较小的术前静脉直径,术后静脉和动脉直径以及流量与早期失败有关.
- 对于AVG,只有手术前静脉直径在早期失败和专利组之间有显著差异.
- 多变量分析确定了男性性别,先前接触史和超声波得分作为早期失败的重要预测因素.
- 手术后静脉直径 (AVF) 和手术前静脉直径 (AVG) 是早期衰竭的高度预测 (AUC 0.92 和 0.82).
结论:
- 在AVF手术后6周测量的静脉直径和AVG中的手术前静脉直径高度预测早期血管接入失败.
- 这些双重超声波参数可以为监视策略提供信息,以早期检测潜在的血管接入失败.
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