改良腹膜透析置管术和传统腹膜透析置管术的漂管率比较.pdfVIP

· 3867 · · 短篇 论著 1． 改 良腹膜透析置管术和传统腹膜透析置管术的漂管率比较 胡伟平，张燕林，黄继义，余 毅 【摘要】 目的 比较延长腹直肌内段的改良腹膜透析置管术和传统腹膜透析置管术的漂管率。方法 2004年 1 月—2叭0年3月在我科行腹膜透析置鹅颈直管术的患者68例，其中采用传统腹膜透析置管术的患者36例为A组，采 用延长腹直肌内段改良腹膜透析置管术的患者32例为B组，观察两组患者置管术后 1年内腹膜透析导管的漂管率。结 果 A组36例患者中有6例 (16．7％)发生漂管，B组32例患者中均未发生漂管，两组漂管率间差异有统计学意义 (P0．05)。结论 与传统腹膜透析置管术相比，延长腹直肌 内段的改良腹膜透析置管术能有效减少导管的漂管率， 值得临床上推广应用。 【关键词】 腹膜透析；鹅颈直管；漂管 【中图分类号】R459．51 【文献标识码】B 【文章编号】1007—9572 (2011)11—3867—03 ComparisonofCatheterMigrationRatesbetweenModifledand ConventionalPeritonealDialysisCatheterPlacement HUWei—ping，ZHANGYan—lin，HUANGJi一 ，eta1．DepartmentofNephrology，ClinicalHospitalofFufianMedicalUni— versityThe ￡AffiliatedHospitalofXiamenUniversity，Xiamen361003，China 【Abstract】 Objective Tocomparetheeffectsofpercutaneousperitonealdialysiscatheterinsertionimprovedbyexten— dingthecatheterlengthinrectusabdominismuscleandthetraditionalwayintheaspectofcathetermigrationrate．Methods Six— ty—eightoasesunderwentpereutaneousperitoneal dialysisswall—neckcatheterinsertioninourdepartmentfromJanuary2004to March2010．Thirty—sixofthemundewrenttraditionalpercutaneousperitonealdialysiscatheterinsertion (groupA)andtheother 32patientsunderwentpercutaneousperitonealdialysiscatheterinsertionimprovedbyextendingthecatheterlengthinrectusabdo- minismuscle (groupB) ．Theratesofcathetermigration1yearafteroperationwereobservedandcomparedinthetwo groups．Results SixcasesingroupAwerefoundwithcathetermigration(16．7％)，whilenomirgationoccurredinrgoupB (P 0．05) ．Conclusion Percutaneousperitoneal dialysiscatheterinsertionimprovedbyextendingthecatheterlengthinrectus abdominismusclecaneffectivelyreducetherateofcathetermirgation，andshouldbewidelypromotedinclinicalapplication． K【eywords】 Peritonealdialysis；Swan—neckcatheter；Cathetermirgation