[1]王海瑞,刘兆玉.透视引导下腹膜透析导管介入导丝复位术的临床应用[J].介入放射学杂志,2020,29(12):1213-1216.
 WANG Hairui,LIU Zhaoyu..Clinical application of fluoroscopy-guided interventional guide-wire technique in restoring the correct position of displaced peritoneal dialysis catheter[J].journal interventional radiology,2020,29(12):1213-1216.
点击复制

透视引导下腹膜透析导管介入导丝复位术的临床应用()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年12
页码:
1213-1216
栏目:
非血管介入
出版日期:
2020-12-25

文章信息/Info

Title:
Clinical application of fluoroscopy-guided interventional guide-wire technique in restoring the correct position of displaced peritoneal dialysis catheter
作者:
王海瑞 刘兆玉
Author(s):
WANG Hairui LIU Zhaoyu.
Department of Radiology, Affiliated Shengjing Hospital of China Medical University, Shenyang, Liaoning Province 110004, China
关键词:
【关键词】 腹膜透析 导管移位 透视引导 导丝复位
文献标志码:
A
摘要:
【摘要】 目的 评估透视引导下腹膜透析导管介入导丝复位术的临床应用。方法 收集 2018年8月—2020年1月肾脏内科行维持性腹膜透析治疗的终末期肾病,且出现腹膜透析导管移位及腹透液引流障碍的患者,对照组为仅行物理复位,观察组为物理复位失败,行介入导丝复位术,比较两组复位成功率和安全性。结果 共入选48例符合入组标准的患者,24例为对照组,24例为观察组,两组年龄、性别、基础疾病、导管移位时间比较,差异无统计学意义。对照组(5/24)与观察组(18/24)复位成功率比较,差异有统计学意义(P<0.05)。观察组手术时间为12 min(6~35 min)。观察组术中9例患者出现腹部不适感,5例可忍受,4例出现腹部疼痛,停止操作后疼痛缓解。术后两组均未发生腹腔出血、脏器损伤及腹膜炎。 结论 透视引导下腹膜透析导管介入导丝复位术是腹膜透析患者导管移位的一种有效、安全的治疗方法。

参考文献/References:

[1] Banshodani M, Kawanishi H, Moriishi M, et al. Umbilical hernia in peritoneal dialysis patients: surgical treatment and risk factors[J]. Ther Apher Dial, 2015, 19: 606- 610.
[2] George N, Alexander S, David VG, et al. Comparison of early mechanical and infective complications in first time blind, bedside, midline percutaneous tenckhoff catheter insertion with ultra- short break- in period in diabetics and non- diabetics: setting new standards[J]. Perit Dial Int, 2016, 36: 655- 661.
[3] Tanasiychuk T, Rafael S, Kushnir D, et al. The ideal position of the peritoneal dialysis catheter is not always ideal[J]. Int Urol Nephrol, 2019, 51: 1867- 1872.
[4] 张 敏,崔文鹏,尤针针,等. 浅谈腹膜透析导管移位的病因及预防策略[J]. 中国实验诊断学, 2016, 20:1219- 1222.
[5] Oliver MJ, Perl J, McQuillan R, et al. Quantifying the risk of insertion- related peritoneal dialysis catheter complications following laparoscopic placement: results from the North American PD Catheter Registry[J]. Perit Dial Int, 2020, 40: 185- 192.
[6] Chow KM, Wong SSM, Ng JKC, et al. Straight versus coiled peritoneal dialysis catheters: a randomized controlled trial[J]. Am J Kidney Dis, 2020, 75: 39- 44.
[7] Shahbandari M, Amiran A. Comparison of the complications of open surgery versus laparoscopic technique in insertion of peritoneal dialysis catheter[J]. J Res Med Sci, 2019, 24: 85.
[8] Chen WL, Ding GH, Zheng Z, et al. Superiority of laparoscopy in the peritoneal dialysis catheter reset surgery[J]. J Huazhong Univ Sci Technol Med Sci, 2015, 35: 71- 75.
[9] Ram R, Swarnalatha G, Dakshinamurty KV. Reinitiation of peri-toneal dialysis after catheter removal for refractory peritonitis[J]. J Nephrol, 2014, 27: 445- 449.
[10] Hatchome N, Shido K, Kikuchi K, et al. Subcutaneous granulo- matous reaction with eosinophil infiltration to a silicone continuous ambulatory peritoneal dialysis tenckhoff catheter[J]. Contact Dermatitis, 2020, 82: 114- 116.
[11] Htay H, Cho Y, Pascoe EM, et al. Multicenter registry analysis of center characteristics associated with technique failure in patients on incident peritoneal dialysis[J]. Clin J Am Soc Nephrol, 2017, 12:1090- 1099.

备注/Memo

备注/Memo:
(收稿日期:2020- 01- 28)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-12-16