腹膜透析植管方法合理性的临床研究  

Clinical Study of the Rationality of the Methods to Plant the Tube in Peritoneal Dialysis

作　　者：董永良[1] 孙馥云[2] 袁琛[3] 徐振娥[2] 刘秀荷[1] 朱庆环[1] 张桂珍[1] 刘艳华[1] 

机构地区：[1]河北医科大学附属沧州市中心医院泌尿外科,沧州061001 [2]河北医科大学附属沧州市中心医院肾内科,沧州061001 [3]河北医科大学附属沧州市中心医院心内科,沧州061001

出　　处：《中国医药导刊》2006年第6期408-410,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:检探讨腹膜透析(PD)的手术植管方法及以脐和耻骨联合上缘的距离做为PD植管体表切口定位标志的合理性。方法:选择2002年6月至2006年5月笔者PD手术植管的101例患者为研究对象,采用美国Baxter公司生产的Tenckhoff PD直管,切口选择以耻骨联合上12～14cm,前正中线旁开2cm为体表标志,实施手术。结果:手术植管101例,手术植管均获成功,引流通畅,随访2～47个月,无漂管发生。结论:以耻骨联合上12～14cm,前正中线旁开2cm为体表标志,手术植管成功率高,术后因漂管导致引流不畅发生率低,有推广价值。Objective：To access the rationality of taking the place that was 12 - 14cm above the pubis union and 2cm beside the anterior midline as the physical surface signs where the tube was planted in PD.Methods： 101 patients who had implemented the operation between June 2002 and May 2006 were admitted into the study. Using the Tenckhoff PD straight tube produced by Bexter, USA, taking the physical surface signs that is 12- 14cm above the pubis union and 2cm beside the anterior midline,the operation was implemented.Remits： 101 surgeries were all sucessfully implemented, the drainage was unobstructed. In the follow - up visitis of 2 - 47 months, there was no one whose catheter floated. Conclusion： Taking the place that was 12 - 14cm above the pubis union and 2cm beside the anterior midline as the physical surface signs, the successfull rate of implanting the tube was high, and the rate of drainage obstructed because of the catheter floating was low, so it had a promotional value.

关 键 词：腹膜透析 耻骨联合 前正中线 植管 漂管 

分 类 号：R459.5[医药卫生—治疗学]