在连续非卧床腹膜透析置管技术中的应用及并发症

A. Bonar, Dahril
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引用次数: 0

摘要

目的:综述辅助入路在CAPD置管中的应用及并发症。材料与方法:本研究为回顾性研究。2009年1月1日至2018年12月31日期间在印度尼西亚亚齐Zainoel Abidin综合医院透析诊所接受CAPD治疗的所有ESRD患者均纳入本研究。并发症的结果包括机械和感染性并发症的记录和审查。结果:在此期间,共有190例ESRD患者采用旁位入路进行了CAPD置管。其中发生并发症31例(16.32%)。本研究发生的并发症为渗漏5例(2.63%),感染9例(4.74%),引流问题8例(4.21%),体位错位9例(4.74%),无肠穿孔。9例感染中,1例因置管引起腹膜炎。另一种感染为出口部位感染。结论:经旁位入路CAPD置管安全,并发症发生率低。可减少术后并发症,因其安全性可推荐用于CAPD置管技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
USAGE OF PARAMEDIAN APPROACH FOR CONTINUOUS AMBULATORY PERITONEAL DIALYSIS CATHETER INSERTION TECHNIQUE AND COMPLICATION
Objective: This study aims to review the usage and complication of paramedian approach for CAPD catheter insertion. Material & Methods: This is a retrospective study. All ESRD patients ongoing CAPD at the Dialysis Clinic of Zainoel Abidin General Hospital in Aceh, Indonesia between January 1, 2009 and December 31, 2018 were included in the present study. Complication outcomes included mechanical and infectious complications are documented and reviewed. Results: A total of 190 ESRD patients had been performed CAPD catheter insertion using paramedian approach in this period. Out of these patients, complication occurred in 31 cases (16.32%). All the complication that occurred in this study are 5 cases of leakage (2.63%), 9 cases of infection (4.74%), 8 cases of drainage problem (4.21%), 9 cases of malposition (4.74%), and no case of bowel perforation. From total of 9 cases of infections, 1 patient had peritonitis from the catheter insertion. The other infection was exit site infection. Conclusion: CAPD catheter insertion using paramedian approach is safe with low complication rates. It could decrease post-operative complications and can be recommended for CAPD catheter insertion technique due to its safety.
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