高位腹膜透析置管术与改良型低位腹膜透析置管术临床应用比较.docVIP

高位腹膜透析置管术与改良型低位腹膜透析置管术临床应用比较 　　[摘要] 目的 比?^高位腹膜透析置管术与改良型低位腹膜透析置管术的临床应用情况。方法 方便选取该院于2014年1月―2016年12月间该院需行腹膜透析置管术患者50例，将所有患者随机分为两组，每组25例。高位腹膜透析置管术组采用高位腹膜透析置管术治疗，改良型低位腹膜透析置管术组采用低位-直管模拟鹅颈隧道成型置管术治疗。比较两组患者的手术情况、手术并发症情况以及漂管率、堵管率情况。 结果 改良型低位腹膜透析置管术组生存率、生活质量评分均高于高位腹膜透析置管术组患者，但差异无统计学意义（P0.05）。改良型低位腹膜透析置管术组术中出血量（187.21±1.32）mL较高位腹膜透析置管术组术中出血量（247.21±1.32）mL降低（P0.05）。改良型低位腹膜透析置管术组手术时间（107.21±1.32）min较高位腹膜透析置管术组手术时间（127.21±1.32）min降低（P0.05）。改良型低位腹膜透析置管术组术后两周漂管率较高位腹膜透析置管术组降低（0.00%20.00%）（P0.05）。改良型低位腹膜透析置管术组术后6个月漂管率较高位腹膜透析置管术组降低（4.00%24.00%）（P0.05）。改良型低位腹膜透析置管术组患者术后6个月堵管率较高位腹膜透析置管术组降低（4.00%24.00%）（P0.05）。结论 改良型低位腹膜透析置管术比高位腹膜透析置管术更能改善手术情况，降低术后漂管率、堵管率，值得进一步临床应用。 　　[关键词] 改良型低位腹膜透析置管术；高位腹膜透析置管术；并发症 　　[中图分类号] R459.51 [文献标识码] A [文章编号] 1674-0742（2017）09（b）-0071-03 　　[Abstract] Objective This paper tries to compare the application situation of high peritoneal dialysis catheter and modified low peritoneal dialysis catheter. Methods 50 cases of patients with peritoneal dialysis catheter from January 2014 to December 2016 in this hospital were convenient selection and divided into two groups， with 25 cases in each group. The high peritoneal dialysis catheter group adopted high peritoneal dialysis catheter treatment and the modified low peritoneal dialysis catheter group adopted low site and inverse-U-shaped tunnel peritoneal dialysis catheter treatment. After treatment， operation result， surgical complications， catheter migration and catheter blocking in two groups were compared. Results The survival rate and quality of life of the modified low - level peritoneal dialysis group were higher than those of the high peritoneal dialysis group， but the difference was not statistically significant （P0.05）. The intraoperative blood loss was （187.21±1.32）mL in the modified low peritoneal dialysis group， lower than that in the high peritoneal dialysis group of （247.21±1.32）mL（P 　　[Key words] Modified low peritoneal dialysis catheter； High peritoneal dialysis catheter； Complications 　　腹膜透析置管?g是临