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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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

Received: 27 August 2025

PACS:

R692.5

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	HAN Suyang^a
	LI Juan^b

Cite this article:

HAN Suyang^a,LI Juan^b. Predictive Value of Ultrasonographic Indicators for Postoperative Complications after AVF Fomation in Patients with Chronic Renal Failure[J]. JOURNAL OF CLINICAL RESEARCH, 2026, 43(1): 82-84.

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

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