摘要
目的 :比较腹膜透析卷曲管与直接管在临床使用上的优缺点 ,以利于腹膜透析的开展。方法 :对行腹膜透析置管术的 12 4例成人慢性肾衰竭病例进行回顾性分析 ,根据其所使用的腹透管类型不同 ,将病人分为直管组(4 6例 )和卷曲管组 (78例 )两组 ,统计其并发症并进行比较。结果 :行腹膜透析插管术后 ,发生漂管移位的共 11例(8.87% ) ,其中直管 8例 (17.39% ) ,卷曲管 3例 (3.85 % ) ,两组比较有统计学差异 ;拔管重置的 4例 (3.2 3% ) ,均为直管 ;病人出现腹痛的共 9例 (7.2 6 % ) ,直管 7例 (15 .2 2 % ) ,卷曲管 2例 (2 .5 6 % ) ,两组比较也有统计学差异。结论 :卷曲管组漂管、拔管率及并发疼痛的发生率显著低于直管组。而在渗漏、出水不畅、血性透出液等方面 。
Objective:To compare the merits and weakness of coiled and straight Tenckhoff catheters in peritoneal dialysis(PD).Methods:According to the type of Tenckhoff catheters used, 124 PD patients with chronic renal failure(CRF) were divided into two groups: coiled catheters group and straight catheters group.Complications were recorded.Results:Peritoneal dialysis catheters were displaced in 11 cases(8.87%) after operation, with 8(17.39%) straight Tenckhoff catheters and 3(3.85%) coiled Tenckhoff catheters. There were significant differences between the two groups.Four cases(3.23%) had their Tenckhoff catheters replaced(all straight catheter).Nine patients(7.26%) had abdominal pain with 7(15.22%) straight catheter and and 2(2.56%) coiled cathetor.Conclusion:Coiled Tenckhoff catheter has less incidence of catheter removal,displacement and abdominal pain,there are no significant differences in other complications such as leakage,poor drainage between the two groups.
出处
《中国中西医结合肾病杂志》
2004年第12期704-706,共3页
Chinese Journal of Integrated Traditional and Western Nephrology
关键词
腹膜透析
并发症
卷曲管
直管
慢性肾衰竭
Peritoneal dialysis Coiled Tenckhoff Catheter Straight Tenckhoff Catheter Syndrome
