三种腹膜透析导管相关并发症的比较  

Comparison of the Three Types of Peritoneal Dialysis Catheter-related Complications

作　　者：章俊[1] 刘蓉芝[1] 郭婷婷[1] 华洁[1] 邱敏姿[1] 马亚琼[1] 汤珣[1] 

机构地区：[1]南方医科大学附属珠江医院肾内科,广州510282

出　　处：《中国中西医结合肾病杂志》2012年第11期970-972,I0005,共4页Chinese Journal of Integrated Traditional and Western Nephrology

摘　　要：目的:比较Tenckhoff卷曲管、Tenckhoff直管、鹅颈直管相关并发症的差异,为临床选择不同腹透管提供依据。方法:回顾性分析2008年3月～2011年7月在我中心行腹膜透析置管术的157例终末期肾病患者资料,按导管形态不同分Tenckhoff卷曲管组(n=53),Tenckhoff直管组(n=54)和鹅颈直管组(n=50)。观察三组导管功能障碍、出口感染、腹膜透析相关性腹膜炎发生情况及对腹膜透析效率的影响。结果:各组共发生导管功能障碍21例,A组11例(13.21%),B组8例(16.67%),C组2例(4%),各组比较差异有统计学意义(P<0.05);共发生出口感染和腹膜透析相关性腹膜炎分别为12例和42例,各组比较差异均无统计学意义(P>0.05);三种腹透管对透析效率的影响差异无统计学意义(P>0.05)。结论:鹅颈直管相对Tenckhoff卷曲管和直管可减少导管功能障碍的发生率,三种导管在出口感染、腹膜透析相关性腹膜炎及对透析效率的影响方面差异无统计学意义。Objective： We compared Catheter - related Complications for cathters with different configurations： coiled Tenck- hoff catheter , straight Tenckhoff catheter and swan -neck straight catheter. Methods：Clinical data of 157 .patients with chronic renal failure（CRF） received PD from March 2008 to November 2011 were analyzed retrospectively. According to the type of catheters used, All patients were divided into three groups： coiled Tenckhoff catheter group （53 patients）, straight Tenckhoff catheter group （54 pa- tients） and swan - neck straight Catheter group （50 patients）. Catheter - related Complications such as catheter tip dysfunction, exit - site infection （ESI） and peritonitis were recorded. The impact of three catheters on dialysis efficiency was also compared. Results：The total number of catheter dysfunction was 21, with 11 （ 13.21% ） in A group, 8 （ 16.67% ） in B group, and 2 （4%） in C group, There were significant differences among the three groups （ P 〈 0.05 ）. Patients with exit - site infection （ESI） and peritonitis were 12 cases and 42 cases respectively , the difference was not significant. There was also no difference in dialysis efficiency of three catheters. Con- dusion： Swan - neck straight catheter has less incidence of catheter dysfunction; There are no significant differences in exit - site in- fection （ESI）, peritonitis and Dialysis efficiency among them.

关 键 词：腹膜透析 Tenckhoff 鹅颈直管 并发症 

分 类 号：R692.5[医药卫生—泌尿科学]