Diagnostic value of color Doppler ultrasonography in patients with diabetes with loss of function of autologous arteriovenous fistula
XU Qianlei
SHAO Xiuhua
WEI Jingtuan
CHEN Su'e
Abstract：Objective To investigate the diagnostic value and clinical application of color Doppler ultrasound(CDU)in detecting autologous arteriovenous fistula(AVF)dysfunction in diabetic patients with end-stage renal disease(ESRD).Methods A total of 110 patients with end-stage renal disease(ESRD)treated at Shanghai Minhang Hospital of Integrated Traditional Chinese and Western Medicine from December 2021 to December 2024 were selected as the study subjects,including 48 diabetic patients and 62 non-diabetic patients.All patients underwent AVF surgery and received regular CDU examinations postoperatively.The general clinical data of the two groups were compared.Biochemical parameters including hemoglobin(Hb),fasting blood glucose(FBG),and glycated hemoglobin(HbA1c)were measured.Ultrasound was used to monitor radial artery intima-media thickness(RA-IMT)and the presence of radial artery calcified plaques(RA-CP).Postoperative cephalic vein diameter(CVD)and cephalic vein blood flow(CVBF)were recorded at 6 weeks,10 weeks,6 months,12 months and 24 months.The incidence of dysfunction complications was compared between the early puncture group(6 weeks postoperatively)and the late puncture group(10 weeks postoperatively).Results The incidence of AVF dysfunction was significantly higher in the diabetic group than in the non-diabetic group(P=0.03).The proportion of diabetic patients with cardiovascular disease was higher than that of non-diabetic patients(P=0.045).Diabetic patients had higher levels of Hb(P<0.001),FBG(P<0.001),and HbA1c(P<0.001)than non-diabetic patients.RA-IMT(P<0.001)was significantly thicker in the diabetic group,and the incidence of RA-CP(P=0.005)was also higher.Postoperative CVD and CVBF parameters at different time points were lower in the diabetic group compared to the non-diabetic group(P<0.05).There was no statistical significance in the incidence of AVF dysfunction between the early puncture group(P=0.62)and the late puncture group(P=0.25)in both the diabetic and non-diabetic groups(P>0.05).There was no statistical significance in the clinical baseline data such as age,gender,bad habits,systolic blood pressure,diastolic blood pressure,BMI,and dialysis duration between the diabetic and non-diabetic groups(P>0.05).Conclusion CDU has significant diagnostic and clinical application value in evaluating AVF dysfunction in diabetic and non-diabetic patients.
Keywords：color Doppler ultrasounddiabetes mellitusend-stage renal diseaseautogenous arteriovenous fistula
Publication Date：2025-10-20
Online Publishing Date：2025-11-24(First online date of this platform, not the publication date of the document)
Pages：6( 1263-1268 )