球囊辅助经皮穿刺术置入颈部长期透析导管的临床经验  

Clinical experience of REcanalisation and balloon-oriented puncture for Re-insertion of longterm dialysis catheter in nonpatent central veins

作　　者：李强[1] 章良佑 陈刚毅[1] 汤水福[1] Li Qiang;Zhang Liangyou;Chen Gangyi;Tang Shuifu(Department of Nephrology,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州中医药大学第一附属医院肾病科,广州510405

出　　处：《中华肾脏病杂志》2023年第1期39-41,共3页Chinese Journal of Nephrology

摘　　要：血液透析患者颈内静脉和无名静脉严重狭窄或闭塞后,再次经颈部置入长期透析导管常存在困难。我们利用球囊辅助经皮穿刺术(REcanalisation and balloon-oriented puncture for Re-insertion of dialysis catheter in nonpatent central veins,REBORN)对7例中心静脉病变严重的患者成功置入颈部长期透析导管,术中无气胸、血胸、肺栓塞等严重并发症,术后随访2个月导管功能良好。REBORN为建立困难透析通路提供了一种新方法。It is difficult to insert long-term dialysis catheters after severe stenosis or occlusion of the internal jugular vein and innominate vein.We used REcanalisation and balloon-oriented puncture for Re-insertion of dialysis catheter in nonpatent central veins(REBORN)in seven patients with severe central venous lesions,and all patients were inserted with long-term dialysis catheters successfully.None had severe complications such as pneumothorax,hemothorax,or pulmonary embolism during operation.All catheters functioned well after postoperative follow-up of 2 months.REBORN provides a novel approach to establish difficult dialysis pathways.

关 键 词：肾透析 中心静脉导管 穿刺术 球囊辅助 透析导管 

分 类 号：R692.5[医药卫生—泌尿科学]