超声引导腹膜透析置管术的临床研究  

A Trial about Ultrasound-guided Peritoneal Dialysis Catheter Implantation

作　　者：陈彦茹[1] 彭晖[1] 彭波[1] 李凯[2] 娄探奇[1] 

机构地区：[1]中山大学附属第三医院肾内科,广州市510630 [2]中山大学附属第三医院超声科,广州市510630

出　　处：《中华全科医学》2013年第4期512-512,630,共2页Chinese Journal of General Practice

摘　　要：目的探讨超声引导下腹膜透析置管术对减少导管相关并发症的可行性及有效性。方法随机选择2008年4月-2010年4月确诊慢性肾衰竭(CKDⅤ期)的患者60例,在超声引导下将Tenckhoff腹透直管置入腹腔膀胱直肠凹(女性子宫直肠凹),其后随访观察导管相关并发症如腹膜透析管移位、大网膜包裹等。所有患者均由同一手术医师和超声医师操作。结果 60例患者均成功置入腹膜透析管并顺利进行腹膜透析,跟踪随访3～48个月(中位数12.9个月),所有观察对象透析出入液通畅,无一例患者出现腹膜透析管移位、大网膜包裹、下腹部不适等导管相关性并发症。结论超声引导下腹膜透析置管术有利于腹膜透析管准确置入道格拉斯陷凹内(男性腹腔膀胱直肠陷凹,女性子宫直肠陷凹),可有效减少导管相关并发症,尤其有助于缺乏手术经验的内科医生准确放置导管,值得在临床中推广应用。Objective Placing peritoneal dialysis（PD） catheter in the right place of abdominal cavity was critical for peritoneal dialysis.Our trial was to investigate the feasibility and effect of ultrasound-guided PD catheter implantation.Methods From April 2008 to April 2010,ultrasound-guided PD catheter implantation was applied in 60 chronic renal failure patients.All procedures were done by the same surgeon and same ultrasound doctor.Results PD catheters were successfully placed in all 60 patients.All patients started PD successfully after placement and were followed from 3 months to 48 months（mean 12.9 months）.None experienced catheter drift,colicomentum circumvolution,or inferior abdomen discomfort.Conclusion Our study showed that ultrasound-guided technique allowed the PD catheter implantation accurately into rectouterine pouch,which may reduce catheter-related complications.Based on our results,it showed that ultrasound-assisted placement of PD catheter was worthy of application.

关 键 词：超声波引导 腹膜透析置管术 并发症 

分 类 号：R459.51[医药卫生—治疗学] R445.1[医药卫生—临床医学]