腹膜透析导管复位技术的研究进展  

Research Progress of Peritoneal Dialysis Catheter Reduction Technique

作　　者：廖兵[1] 梁叶 LIAO Bing;LIANG Ye(Department of Nephrology,First People's Hospital of Nanning,Nanning,Guangxi Zhuang Autonomous Region,530022 China)

机构地区：[1]南宁市第一人民医院肾内科,广西南宁530022

出　　处：《中外医疗》2021年第31期190-194,共5页China & Foreign Medical Treatment

摘　　要：腹膜透析(peritoneal dialysis,PD)是终末期肾脏病患者主要的肾脏替代治疗方法之一,具备安全、有效、更好的残存肾功能保护作用及较低的交叉感染风险等优点。腹膜透析导管移位是导致不能正常进行腹膜透析治疗的重要原因,其临床常见原因有很多,包括腹透置管的位置不当、腹腔大网膜包裹导管、大便硬结及肠胀气等。腹膜透析管移位的常见处理办法是内科保守方法,如手法按摩复位、灌肠刺激肠道蠕动等。对于内科保守治疗无效的患者可选择重新开腹手术复位、胃镜活检钳复位、腹腔镜下手术复位、B超引导下及数字减影(digital subtraction,DSA)引导下导丝复位术等方法。该文通过分析各种技术的特点,对腹膜透析导管移位的各种复位技术进行综述。Peritoneal dialysis(PD)is one of the main renal replacement treatments for patients with end-stage renal disease.It has the advantages of safe,effective and better protection of residual renal function and lower risk of cross-infection.The displacement of the peritoneal dialysis catheter is an important reason for the failure of normal peritoneal dialysis treatment;there are many common clinical causes,including improper placement of peritoneal dialysis catheters,greater omentum-wrapped catheters in the abdominal cavity,induration of stool,and flatulence.The common treatment for the displacement of the peritoneal dialysis tube is the conservative method of internal medicine,such as manual massage reduction,enema to stimulate intestinal peristalsis,etc.For patients who have failed conservative medical treatment,reopen surgery reduction,gastroscopic biopsy forceps reduction,laparoscopic surgery reduction,B-guided ultrasound and digital subtraction(DSA)guided guidewire reduction can be selected.This article summarizes and introduces various reduction techniques for peritoneal dialysis catheter displacement by analyzing the characteristics of various techniques.

关 键 词：腹膜透析 导管移位 腹膜透析管 

分 类 号：R4[医药卫生—临床医学]