首页|经皮穿刺腹膜透析置管术在肥胖终末期肾病患者中的临床应用观察

经皮穿刺腹膜透析置管术在肥胖终末期肾病患者中的临床应用观察

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目的:探究经皮穿刺腹膜透析置管术在肥胖终末期肾病患者中的应用效果.方法:采用随机数字表法将我院2021 年 1 月—2022 年 12 月收治的60 例肥胖终末期肾病患者分为两组,各30 例.经皮组采用经皮穿刺腹膜透析置管术,手术组于直视下采用传统开放手术切开置管.对比两组手术情况、近期及远期并发症.结果:经皮组置管时间及住院时间均短于手术组,手术切口长度短于手术组,有统计学差异(P<0.05).两组近期并发症发生率比较,无统计学差异(P>0.05).两组远期并发症发生率、导管生存率对比,无统计学差异(P>0.05).结论:经皮穿刺腹膜透析置管术在肥胖终末期肾病患者应用中借助超声定位,可有效缩短手术时间,减少手术对患者造成的创伤,无明显并发症,安全可靠,对确保患者顺利透析提供有效置管方法,值得推广应用.
Clinical Observation of Percutaneous Peritoneal Dialysis Catheterization in Obese Patients with End-Stage Renal Disease
Objective:To investigate the effect of percutaneous peritoneal dialysis catheterization in obese patients with end-stage renal disease.Methods:60 obese patients with end-stage renal disease admitted to our hospital from January 2021 to December 2022 were divided into two groups with 30 cases in each group by random number table method.Percutaneous peritoneal dialysis catheterization was performed in the percutaneous group,and traditional open surgery was performed in the operation group under direct vision.The operation status,short-term and long-term complications were compared between the two groups.Results:The catheterization time and hospital stay in the percutaneous group were shorter than those in the operation group,and the surgical incision length was shorter than that in the operation group,with statistical difference (P <0.05).There was no significant difference in the incidence of recent complications between the two groups (P>0.05).There were no significant differences in the incidence of long-term complications and the survival rate of catheterization between the two groups (P>0.05 ).Conclusion:Percutaneous peritoneal dialysis catheterization in obese patients with end-stage renal disease can effectively shorten the operation time,reduce the trauma caused by the operation,no obvious complications,safe and reliable,and provide an effective catheterization method to ensure the smooth dialysis of patients,worthy of promotion and application.

Obesity end-stage renal diseasePercutaneous peritoneal dialysis catheterizationTraditional open surgery incision and catheterizationPain score

费良玉、王辉、张宝文、张圆、沈严严、罗湘俊

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南华大学附属南华医院 肾内科(湖南 衡阳 421001)

南华大学附属南华医院 胃肠外科(湖南 衡阳 421001)

南华大学附属南华医院 超声科(湖南 衡阳 421001)

肥胖终末期肾病 经皮穿刺腹膜透析置管术 传统开放手术切开置管 疼痛评分

2021年度衡阳市(社会发展领域)指导性计划项目

155

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(1)
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