经皮穿刺腹膜透析置管术的临床应用  

Clinical application of percutaneous placement of peritoneal dialysis catheter

作　　者：韩庆烽[1] 孙玲华[1] 聂建东[1] 孙庆华[1] 

机构地区：[1]北京大学第三医院肾脏内科,北京100191

出　　处：《中国血液净化》2014年第10期686-688,共3页Chinese Journal of Blood Purification

摘　　要：目的比较经皮穿刺腹膜透析置管术与手术切开直视下腹膜透析置管术的临床应用效果。方法单中心回顾性研究。66例腹膜透析患者,其中36例采用手术切开直视下腹膜透析置管,30例患者采用经皮穿刺腹膜透析置管。比较2组患者置管过程、置管后1月内腹膜透析管相关合并症和腹膜透析相关感染的发生率。结果经皮穿刺腹膜透析置管组患者的操作时间、手术切口长度、术后需要使用镇痛剂患者的比例明显低于手术切开直视下腹膜透析置管组(t=8.614,P=0.000),2组患者术中均未出现明显出血和脏器损伤,2组患者置管后1月内腹膜透析管路相关合并症和感染相关合并症的发生率差异没有统计学意义(P>0.05)。结论经皮穿刺腹膜透析置管术易于肾脏内科医生掌握和应用,对患者的损伤较小,并可以控制合并症的发生。Objective To compare the clinical efficacy of percutaneous placement of peritoneal dialysis （PD） catheter and open surgery for PD catheter placement.Methods A total of 66 PD patients were enrolled in this retrospective single-center study.Thirty-six patients were treated with surgical incision,and 30 patients with percutaneous method for the placement of peritoneal catheter.Catheter placement procedure,catheter-related complications,and PD related infections within one month after catheter placement were compared between the two groups.Results The time required for the placement,incision length and the number of patients treated with analgetics were significantly lower in percutaneous placement group than in surgical incision group （P＜0.05）.Severe hemorrhage and visceral injury did not occur in the two groups.The prevalence of catheter-related complications and infections within one month after catheter placement were statistically insignificant between the two groups （P＞0.05）.Conclusion Percutaneous placement of PD catheter is easier to be operated by nephrologists.It brings slight damage and less complications to the patients.

关 键 词：腹膜透析 经皮穿刺技术 腹膜透析管路 

分 类 号：R459.5[医药卫生—治疗学]