中国血液透析血管通路超声介入治疗专家共识(2024年版)  

Expert consensus on ultrasound interventional therapy for hemodialysis vascular access in China(2024)

作　　者：中国血液透析血管通路超声介入治疗共识专家组 万梓鸣[2] 胡波[3] 蒋华[4] 冯剑[5] 何凡 崔天蕾[7] 陈波[8] Chinese consensus expert group on ultrasound interventional therapy for hemodialysis vascular access;Wan Ziming(不详;Department of Nephrology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]不详 [2]重庆医科大学附属第一医院肾内科,重庆400010 [3]暨南大学附属第一医院血管通路中心 [4]浙江大学医学院附属第一医院肾内科 [5]浙江大学医学院附属邵逸夫医院肾内科 [6]华中科技大学同济医学院附属同济医院肾内科 [7]四川大学华西医院肾内科 [8]重庆医科大学附属第一医院超声科

出　　处：《中华肾脏病杂志》2024年第11期918-930,共13页Chinese Journal of Nephrology

摘　　要：近年来,超声引导下经皮腔内血管成形术(percutaneous transluminal angioplasty,PTA)已广泛用于血液透析血管通路狭窄或闭塞病变的治疗。然而,目前尚缺乏针对该技术的临床操作指南或专家共识。因此,如何进一步规范该项技术的临床操作,确保其临床诊疗效果和安全性,成为了当前血液透析血管通路界医师亟待解决的问题。中国血液透析血管通路超声介入治疗共识专家组经过广泛的实践调研、文献分析及深入的临床讨论,制定了《中国血液透析血管通路超声介入治疗专家共识(2024年版)》。本共识涵盖术前评估、超声诊断流程、介入治疗标准、手术操作细则及并发症应对策略等多个关键环节,旨在为临床医师提供实操指导,以提升治疗效果,降低并发症风险,从而改善患者生活质量。此共识的推广,期待能够促进超声介入技术在动静脉血管通路治疗中的规范应用与推广。In recent years,ultrasound-guided percutaneous transluminal angioplasty(PTA)has been widely used for the treatment of stenotic or occlusive lesions in hemodialysis vascular access.However,there is currently a dearth of clinical guidelines or expert consensus for this technology.Therefore,it becomes an urgent problem in the field of hemodialysis vascular access how to further standardize the clinical procedures of ultrasound-guided PTA to ensure its efficacy and safety in clinical diagnosis and treatment.For this purpose,Chinese consensus expert group on ultrasound interventional therapy for hemodialysis vascular access has formulated this"Expert consensus on ultrasound interventional therapy for hemodialysis vascular access in China(2024)".The present consensus encompasses several key aspects,including preoperative assessment,ultrasound diagnostic procedures,interventional treatment standards,surgical operating procedures,and strategies for managing complications.It aims to provide practical guidance for clinicians to improve treatment outcomes,mitigate the risk of complications,and enhance patients'quality of life.The promotion of this consensus is expected to facilitate the standardized application and popularization of ultrasound interventional techniques in the treatment of arteriovenous dialysis access.

关 键 词：肾透析 血管成形术 超声检查 介入性 血管通路 专家共识 

分 类 号：R459.5[医药卫生—治疗学]