Objective To analyze the clinical value of three-dimensional digital subtraction angiography(3-D DSA)-guided peritoneal dialysis(PD)catheterization.Methods Twenty-six patients who underwent PD treatment in our hospital from October 2021 to October 2022 were randomly divided into a control group and an observation group.The control group underwent PD catheterization using traditional open surgery,while the observation group underwent percutaneous PD catheterization guided by 3-D DSA.The general information,incision length,intraoperative bleeding volume,operative time,postoperative pain score,pain duration,length of stay,adverse events,and patient satisfaction were compared between the two groups.Results There was no significant difference in general information between the two groups.The observation group was significantly(all P＜0.05)better than the control group with shorter incision(2.14±0.17)cm,lower intraoperative bleeding volume(7.74±1.29)mL,shorter operative time(28.48±3.24)min,lower postoperative pain score(2.56±0.87),shorter postoperative pain duration(57.16±7.26)min,and length of stay(11.16±3.04)days compared to the control[(5.24±0.86)cm,(15.12±5.41)mL,(59.64±6.52)min,(5.73±1.42),(81.25±15.16)min,(16.24±5.68)days].There was no significant difference(P=0.2770)in the incidence of adverse event in the observation group(1,7.69％)compared to control group(3,23.08％).Patient satisfaction was significantly higher(P=0.0297)in the observation group(100％)than the control group(69.23％).Conclusion Comparing to traditional open surgery,3-D DSA-guided PD catheterization is less traumatic and has shorter operative time and patient satisfaction.
关键词
腹膜透析/三维数字减影血管造影/手术/并发症/患者满意率
Key words
Peritoneal dialysis/Three-dimensional digital subtraction angiography/Operation/Complication/Patient satisfaction
维普
万方数据