摘要
目的 :以往需行腹膜透析的肾功能衰竭患者置放腹膜透析管需做一腹部切口 ,定位不够准确。本文介绍在腹腔镜引导下放置腹膜透析管的经验。方法 :选择 1 2例慢性肾衰患者 ,在腹腔镜引导下 ,将Tenckhoff腹膜透析管放置腹腔膀胱 (子宫 )直肠窝 ,井经皮下隧道引出。结果 :所有腹膜透析管均放置成功 ,手术时间 1 0min～ 2 0min ,患者术后即顺利进行腹膜透析 ,术后 2～ 7d出院。结论 :腹腔镜引导下放置腹膜透析管定位准确 ,无手术切口。和常规开腹技术相比 。
Objective:The placement of peritoneal dialysis c atheters in patients with chronic renal failure often required an abdominal inci sion before. And the position of the catheters was not very precise. The aim of this paper is to present the experience with laparoscopic placement of a periton eal dialysis catheter.Methods:The laparoscopic placement of a Tenckhoff peritoneal dialysis catheter was performed on 12 patients with chronic renal failure. The d erivation of catheter was though subcutaneous tunnel. Results:All the catheters were successfully placed and the time of operation was from 10min to 20min. The peritoneal dialysis was successfully performed just after the operation. The patients were discharged 2～7 days follo wing the operation.Conclusions:The laparoscopic placement of peritoneal dialysis catheter has such advantages as precise position of catheter, no operative incis ion; light pain after operation; the procedure hastens the early start of perito neal dialysis. It has unique superiority compared with the routine technique of abdomen incision.
出处
《中国内镜杂志》
CSCD
2003年第6期27-29,共3页
China Journal of Endoscopy
关键词
腹腔镜术
腹膜透析管
置管
慢性肾衰
Laparoscopy
Peritoneal Dialysis
Chronic Renal Failur e
