改良的经皮腹膜透析置管术的临床应用现状
Current status and clinical use of modified percutaneous peritoneal dialysis catheterization
杨韵璇 1杜玄一1
作者信息
- 1. 150086 哈尔滨,哈尔滨医科大学附属第二医院肾内科
- 折叠
摘要
一根功能良好的腹膜透析导管(peritoneal dialysis catheter,PDC)是腹膜透析(perito-neal dialysis,PD)成功的关键和前提.目前尚未就PDC放置的最佳方法达成共识.超声引导下Selinger经皮穿刺PD置管术是目前较为成熟的置管方法.然而仍会因导管移位、渗漏、腹膜炎等技术或感染的原因而终止PD.因此不断改良置管技术,进一步提高导管技术生存率是目前亟需解决的问题.本文主要就Seldinger经皮PDC置入手术部分程序的改良及优越性作一综述.
Abstract
A well-functioning peritoneal dialysis catheter(PDC)is a critical prerequisite for successful peritoneal dialysis(PD)therapy.There is no consensus about the best method for PDC placement.Ultrasound-guided Seldinger percutaneous puncture PD placement is now a well-established technology.However PD can still be terminated due to technical or infectious reasons such as catheter migration,leakage,and peritonitis.Therefore,continuous improvement of catheter placement techniques to increase catheter technical survival is an urgent issue to be solved.This article focuses on the improvement of operation procedures and the advan-tages of Seldinger percutaneous PDC placement.
关键词
腹膜透析/改良经皮穿刺置管术/Seldinger法/超声引导Key words
Peritoneal dialysis/Modified percutaneous catheterization/Seldinger method/Ultrasound guidance引用本文复制引用
出版年
2024
NETL
NSTL
万方数据