腹膜透析导管徒手薅除术与手术切开拔管术的疗效对比  

Efficacy comparison between pull and surgical technique for removal of peritoneal dialysis catheter

作　　者：程慧栋 司博林[1] 华琴[1] 何建强[1] 桂兰兰[1] Cheng Huidong;Si Bolin;Hua Qin;He Jianqiang;Gui Lanlan(Department of Nephrology, Affiliated Hospital of Jiangsu University, Zhenjiang 212000, China)

机构地区：[1]江苏大学附属医院肾内科,江苏镇江212000

出　　处：《临床荟萃》2021年第12期1097-1101,共5页Clinical Focus

基　　金：江苏大学附属医院院级基金腹膜透析患者血管内皮细胞功能紊乱相关因素研究(JLY20120152)。

摘　　要：目的比较腹膜透析导管徒手薅除术与手术切开拔管术的疗效,为临床诊疗提供依据。方法回顾性分析2011-2020年在江苏大学附属医院行腹膜透析导管拔除术患者88例。徒手薅除术39例,手术切开术49例。比较两组术中及术后并发症,对徒手薅除的腹膜透析导管进行拉力测试,探讨导管耐受拉力情况。结果徒手薅除术组手术时间、术中疼痛评分、出血量较多(>10 ml)患者数均小于外科切开组(P<0.05)。两组感染发生率相似。导管断裂时所承受的拉力随导管寿命延长而下降。结论腹膜透析导管徒手薅除术便捷、安全,值得推广。Objective To compare the effecacy of pull and surgical technique for removal of peritoneal dialysis(PD)catheter.Methods We retrospectively analyzed 88 patients undergone PD catheter removal admitted to Affiliated Hospital of Jiangsu University during the past decade(2011-2020).intra-operative and post-operative were performed on the two groups which comprised 39(pull technique)and 49(surgical technique)patients.The tension test of the catheter in pull technique group was conducted to explore resistance of PD catheter.Results In comparative trials,operating duration,pain score and proportion of patients with blood loss than 10 ml of pull technique patients were less than those of surgical technique patients(P<0.05);Similar infection rate was found between groups;decreased fracture(pull)in PD catheter was in opposite to its life extension.Conclusion Pull technique for PD catheter is convenient and safe then worthy of promotion.

关 键 词：腹膜透析 手术中并发症 手术后并发症 

分 类 号：R459.5[医药卫生—治疗学]