经腹壁小切口腹膜透析置管术对儿童肾功能不全的临床疗效观察  

Clinical observation on the effect of peritoneal dialysis catheterization through small abdominal incision for children with renal insufficiency

作　　者：王弘扬 白东升[1] 陈朝英[2] 宋晋秋[1] 牛志尚[1] 邱颖[1] 张晨捷 刘晓萌 Wang Hongyang;Bai Dongsheng;Chen Chaoying;Song Jinqiu;Niu Zhishang;Qiu Ying;Zhang Chenjie;Liu Xiaomeng(Department of Urology and Nephrology,Capital Institute of Pediatrics,Beijing 100020,China)

机构地区：[1]首都儿科研究所泌尿外科,北京100020 [2]首都儿科研究所肾脏内科,北京100020

出　　处：《北京医学》2023年第5期417-421,共5页Beijing Medical Journal

摘　　要：目的探讨经腹壁小切口的腹膜透析置管术对儿童肾功能不全的临床疗效。方法选取2010年9月至2021年4月首都儿科研究所附属儿童医院行开放式腹膜透析置管术的儿童46例,根据手术方式不同分为观察组(29例)和对照组(17例),观察组采用经腹壁小切口的腹膜透析置管术,对照组采用传统开放式的腹膜透析置管术。比较两组围术期指标和非感染相关并发症的差异。结果46例患者中,男22例、女24例。两组平均年龄分别为(109.7±59.3)个月和(78.5±50.1)个月,差异无统计学意义(P>0.05)。相比对照组,观察组隧道长度更长[3(2.5,4.0)cm比2(1.5,2.5)cm]、腹透起始时间更早[3(3,4)d比4(3.5,5)d],观察组发生术后管路移位较对照组少,差异均有统计学意义(P<0.05)。结论腹壁小切口腹膜透析置管术在儿童肾功能不全患者中应用较好,可在临床应用和推广。Objective To explore the clinical effect of peritoneal dialysis catheterization through small abdominal incision on children with renal insufficiency.Methods A total of 46 children who underwent open peritoneal dialysis catheterization in Children's Hospital Affiliated to Capital Institute of Pediatrics from September 2010 to April 2021 were selected,and were divided into the observation group(29 cases)with modified peritoneal dialysis catheterization and the control group(17 cases)with traditional open peritoneal dialysis catheterization according to the different surgical methods.The perioperative indicators and non-infection related complications were were compared between the two groups.Results There were 22 males and 24 females among the 46 patients,the average age of the observation group and the control group was(109.7±59.3)months and(78.5±50.1)months,respectively,the difference was not statistically significant(P>0.05).Compared with the control group,the tunnel length of the observation group was longer[3(2.5,4.0)cm vs.2(1.5,2.5)cm],the start time of peritoneal dialysis was earlier[3(3,4)d vs.4(3.5,5)d],and the postoperative pipeline displacement was less,the differences were statistically significant(all P<0.05).Conclusions Peritoneal dialysis catheterization with small abdominal incision is well applied better in children with renal insufficiency,and can be promoted in clinic.

关 键 词：经腹壁小切口 腹膜透析置管术 肾功能不全 临床疗效 儿童 

分 类 号：R726.9[医药卫生—儿科]