腹腔镜术后首次启动腹膜透析时间对患者预后的影响  

Influence of time to start peritoneal dialysis for the first time after laparoscopic surgery on prognosis of patients

作　　者：何吉 刘岳明 何强 He Ji;Liu Yueming;He Qiang(Postgraduate Training Base of Jinzhou Medical University(Department of Nephrology,Zhejiang Provincial Peoples Hospital),Hangzhou 310014,China)

机构地区：[1]锦州医科大学研究生培养基地(浙江省人民医院肾脏病科),杭州310014

出　　处：《国际泌尿系统杂志》2024年第3期428-431,共4页International Journal of Urology and Nephrology

摘　　要：目的:探讨腹腔镜置管术后首次不同腹膜透析开始时间对患者预后的影响。方法:回顾性分析浙江省人民医院2013年4月至2021年9月诊断的174例慢性肾脏病患者的临床资料,根据置管时间与首次腹透时间之间的差值分为紧急启动组(≤7 d,82例)和常规启动组(>7 d,92例)。比较两组患者的术前原发病、血红蛋白、白蛋白、血肌酐水平以及透析后并发症等方面的差异。结果:两组患者的高血压、糖尿病、高血压合并糖尿病、慢性肾炎、IgA肾病、其他原因等原发病比例比较,差异均无统计学意义(均P>0.05)。两组的出血、腹膜炎、漂管、渗漏等并发症比例比较,差异均无统计学意义(均P>0.05)。结论:腹腔镜下腹膜透析置管术后紧急启动腹膜透析与常规启动无明显差异,且可减少患者不必要的血液透析和并发症,同时降低治疗费用。Objective To explore the difference of the first different peritoneal dialysis start time after laparoscopic catheterization.Methods A total of 174 patients diagnosed with chronic kidney disease from April 2013 to September 2021 in Zhejiang Provincial People's Hospital were selected and fllowed up for two years,divided into an emergency start-up group(≤7 d,82 cases)and a routine start-up group(>7 d,92 cases).The differences in preoperative primary disease,hemoglobin,albumin,and serum creatinine levels as well as post-dialysis complications such as leakage,hemorrhage,hernia,drift tube,and peritonitis were compared respectively.Results There was no significant difference in the proportion of primary diseases such as hypertension,diabetes,hypertension combined with diabetes,chronic nephritis,IgA nephropathy and other causes between the two groups(all P>0.05).There was no significant difference in the proportion of complications such as bleeding,peritonitis,floating tube and leakage between the two groups(all P>0.05).Conclusions There is no significant difference between emergency start-up of peritoneal dialysis and routine start-up after laparoscopic peritoneal dialysis catheterization,which can reduce unnecessary hemodialysis of patients and reduce complications and costs.

关 键 词：腹膜透析 腹腔镜检查 时间因素 

分 类 号：R692.5[医药卫生—泌尿科学]