摘要
目的比较常规腹膜透析置管术和腹壁再固定的腹膜透析置管术对漂管率的影响。方法随机选取2001—2006年常规腹膜透析置管术（对照组）患者28例、腹壁再固定置管术（治疗组）患者35例，后者在常规置管术的基础上在第一涤纶套下方3cm处将Tenekhoff管以铬制肠线做腹壁再次固定，置管术后1年内将二者漂管率进行比较。结果治疗组术后仅1例漂管，漂管率2．9％，而对照组漂管率达17．9％（5／28），两组比较差异有统计学意义。结论常规腹膜透析置管术中采用腹壁再固定技术方法简便，不增加手术时间，漂管率低，优于常规腹膜透析置管术。
Objective To compare the ratio of migration between the conventional implantation technique and the technique of refixation on the abdominal wall. Methods The conventional implantation technique of the Tenckhoff catheter was carried out in 28 patients, at the same time, the technique of the refixation on the abdominal wall was carded out in 35 patients. The method of the latter was that the Tenckhoff catheter was fixed on the abdominal wall below the 3 cm of the first cuff. After one year, the comparison about the ratio of catheter migration was done. Results The catheter migration occurred in 5 of 28 patients （17.9%） in the conventional implantation, 1 of 35 patients （2.9%） in the refixation. The difference was obvious. Conclusion The technique of the refixation on the abdominal wall seems to be useful in preventing catheter migration and is superior to the conventional implantation technique.
出处
《中国医师进修杂志（内科版）》
2008年第8期25-26,共2页
Chinese Journal of Postgraduates of Medicine
关键词
腹膜透析
腹壁再固定
置管术
Peritoneal dialysis
Refixation
Implantation technique
