双导丝联合球囊导管破鞘技术在带隧道带涤纶套导管原位换管中的应用  

Application of double guide wire combined with balloon catheter sheathing technique in tunnel-cuffed catheter in situ tube replacement

作　　者：孟祥龙 王君如 任松 梁静 张亚玲 张涛 何强 Zhu Huayan;Lei Xin;Chen Liangliang;Chen Jianghua;Han Fei;Meng Xianglong;Wang Junru;Ren Song;Liang Jing;Zhang Yaling;Zhang Tao;He Qiang(Department of Nephrology and Institute of Nephrology,Sichuan Provincial People's Hospital,Sichuan Clinical Research Centre for Kidney Diseases,Chengdu 610000,China)

机构地区：[1]四川省医学科学院四川省人民医院肾内科暨肾脏病研究所,成都610000

出　　处：《中华肾脏病杂志》2024年第9期753-756,共4页Chinese Journal of Nephrology

摘　　要：血液透析导管长期留置血管内会形成纤维蛋白鞘,纤维蛋白鞘是引起导管功能不良的主要原因之一。该研究旨在探索一种突破纤维蛋白鞘束缚的原位换管新技术,纳入右颈内静脉带隧道带涤纶套导管功能不良患者7例,采用双导丝联合球囊导管破鞘技术原位换管,再次置入带隧道带涤纶套导管。7例患者术中均成功突破纤维蛋白鞘束缚,术后导管透析顺利。随访6个月导管均未出现功能不良。提示双导丝联合球囊导管破鞘技术在原位换管中是一种安全有效的方法。Long term retention of hemodialysis catheters in blood vessels can lead to the formation of fibrin sheath,which is one of the main reasons causing catheter dysfunction.This study aims to explore a new in situ tube replacement technique that breaks through the binding of fibrin sheath.The tunnelcuffed catheters of right internal jugular vein due to dysfunction were reimplanted with a double guide wire combined with balloon catheter sheathing technique in seven patients.The surgery successfully broke through the fibrin sheath constraint,and postoperative catheter dialysis proceeded smoothly,and none had catheter dysfunction during 6 months of follow-up.The double guide wire combined with balloon catheter sheathing technique is a safe and effective method in situ catheterization.

关 键 词：肾透析 导管 留置 中心静脉导管 球囊导管 原位换管 纤维蛋白鞘 

分 类 号：R692.5[医药卫生—泌尿科学]