超声指标对慢性肾衰竭患者头静脉-桡动脉AVF成形术后并发症的预测价值

doi:10.3969/j.issn.1671-7171.2026.01.023

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摘要 【目的】 探讨超声指标对慢性肾衰竭(CRF)患者头静脉-桡动脉动静脉内瘘(AVF)成形术后并发症的预测价值。【方法】 126例行AVF成形术的CRF患者,术后1 d均接受超声检查检测头静脉内径(CVD)、桡动脉内径(RAD)及肱动脉流量(FV)等参数。根据患者术后是否发生并发症分为发生组和未发生组。比较两组患者的一般资料及超声参数的差异,采用受试者工作特征(ROC)曲线分析各超声参数对AVF成形术后并发症的预测效能。【结果】 发生组患者的CVD、RAD、FV小于未发生组,糖尿病患病率高于未发生组(均P<0.05);多因素分析显示,CVD减小、RAD减小、FV减小为AVF成形术后发生并发症的危险因素(P<0.05)。受试者工作特征(ROC)曲线分析显示,CVD、RAD、FV三者联合检测对术后并发症的诊断效能优于各指标单独检测(P<0.05)。【结论】 超声指标CVD、RAD及FV可作为CRF患者AVF成形术后并发症的有效预测指标,且三者联合检测能显著提高预测的准确性。

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	韩苏阳
	李娟

关键词 ：肾功能衰竭, 慢性, 超声检查, 动静脉瘘

Abstract：【Objective】 To investigate the predictive value of ultrasonographic indicators for postoperative complications following cephalic vein-radial artery arteriovenous fistula(AVF) formation in patients with chronic renal failure(CRF).【Methods】 A total of 126 CRF patients who underwent AVF creation were enrolled. All patients received postoperative ultrasound examination on day 1 to assess parameters including cephalic vein diameter(CVD), radial artery diameter(RAD), and brachial artery flow volume(FV). Patients were divided into a complication group and a non-complication group based on postoperative outcomes. General clinical data and ultrasound parameters were compared between the two groups. Receiver operating characteristic(ROC) curves were used to analyze the diagnostic performance of each ultrasound parameter in predicting postoperative complications.【Results】 Patients in the occurrence group had lower CVD, RAD, and FV, and a higher prevalence of diabetes mellitus than those in the non-occurrence group(P<0.05). Multivariate analysis revealed that decreased CVD, reduced RAD, and diminished FV were independent risk factors(P<0.05). ROC analysis indicated that the combined detection of CVD, RAD, and FV had significantly better diagnostic performance for postoperative complications than any single parameter alone(P<0.05).【Conclusion】 Ultrasonographic indicators CVD, RAD, and FV can serve as effective predictors of postoperative complications after AVF creation in CRF patients, and combined assessment of the three parameters markedly enhances predictive accuracy.

Key words： Kidney Failure, Chronic Ultrasonography Arteriovenous Fistula

收稿日期: 2025-08-27

中图分类号:

R692.5

引用本文:

韩苏阳, 李娟. 超声指标对慢性肾衰竭患者头静脉-桡动脉AVF成形术后并发症的预测价值[J]. 医学临床研究, 2026, 43(1): 82-84.
HAN Suyang^a, LI Juan^b. Predictive Value of Ultrasonographic Indicators for Postoperative Complications after AVF Fomation in Patients with Chronic Renal Failure. JOURNAL OF CLINICAL RESEARCH, 2026, 43(1): 82-84.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.01.023 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I1/82

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