超声引导Seldinger法腹膜透析置管术在终末期肾病中的应用  

Application of ultrasound-guided percutaneous peritoneal dialysis catheterization with Seldinger technique in end-stage renal disease

作　　者：彭晓枫 林建帆 许进雄 PENG Xiao-feng;LIN Jian-fan;XU Jin-xiong(Department of Nephrology,Shanwei People's Hospital,Shanwei 516600,Guangdong,CHINA)

机构地区：[1]汕尾市人民医院肾内科,广东汕尾516600

出　　处：《海南医学》2022年第11期1440-1442,共3页Hainan Medical Journal

摘　　要：目的探究超声引导Seldinger法腹膜透析置管术在终末期肾病中的临床应用效果。方法选择2019年6月至2020年12月在汕尾市人民医院接受腹膜透析治疗的60例终末期肾病患者为研究对象,按照随机数表法将患者分为观察组和对照组各30例。观察组患者采用超声引导Seldinger法经皮穿刺完成腹膜透析置管,对照组患者采用开腹手术完成腹膜透析穿刺置管。比较两组患者的手术时间和术后住院时间,并观察两组患者术后1个月内和术后1~12个月内的并发症发生情况。结果观察组患者的手术时间、手术切口长度、术后排气时间、术后住院时间分别为(25.15±8.22)min、(26.16±4.23)mm、(4.76±1.12)h、(9.21±2.32)d,明显短于对照组的(56.91±12.69)min、(43.09±7.17)mm、(8.29±2.09)h、(13.46±3.37)d,差异均有统计学意义(P<0.05);观察组患者术后近期及远期的并发症总发生率分别为6.67%、3.33%,明显低于对照组的30.00%、16.67%,差异均有统计学意义(P<0.05)。结论超声引导下Seldinger法经皮穿刺腹膜透析置管术是一种操作简便、手术创伤较小、安全可靠的置管方式,可有效减少和避免术后并发症的发生,值得在临床推广应用。Objective To study the clinical application of ultrasound-guided percutaneous peritoneal dialysis catheterization with Seldinger technique in patients with end-stage renal disease.Methods Sixty patients with end-stage renal disease in Shanwei People’s Hospital from June 2019 to December 2020 were randomly divided into an observation group and a control group,with 30 patients in each group.The patients in the observation group were treated with ultrasound-guided percutaneous peritoneal dialysis catheterization with Seldinger technique,while the patients in the control group underwent peritoneal dialysis catheterization by open operation.The operation time and postoperative hospital stay of the two groups were compared,and the complications of the two groups in the short term(within 1month after operation)and long term(within 1~12 months after operation)were observed and compared.Results The operation time,length of operative incision,postoperative exhaust time,and postoperative hospital stay of the observation group were(25.15±8.22)min,(26.16±4.23)mm,(4.76±1.12)h,(9.21±2.32)d,respectively,which were significantly shorter than(56.91±12.69)min,(43.09±7.17)mm,(8.29±2.09)h,(13.46±3.37)d in the control group(P<0.05).The incidence of postoperative short-term and long-term complications in the observation group were 6.67%and 3.33%,respectively,which were significantly lower than 30.00%and 16.67%in the control group(P<0.05).Conclusion Ultrasound-guided percutaneous peritoneal dialysis catheterization with Seldinger technique is a simple,less invasive,safe,and reliable catheterization method,which can effectively reduce and avoid the occurrence of postoperative complications.

关 键 词：终末期肾病 腹膜透析 超声 SELDINGER法 经皮穿刺置管 并发症 

分 类 号：R692[医药卫生—泌尿科学]