腹透析并发症风险因素的分层分层 腹透析导管放置
Diana Alejandra Holguin Sanabria1, Ivette Jiménez2, Daniela Moreno Villamizar1
1Department of Pediatric Surgery, Hospital Fundación HOMI, Universidad Nacional de Colombia, Bogotá, Colombia.
概括
儿科腹膜透析 (PD) 的并发症很常见. 1岁以下和10公斤以下的婴儿面临更高的风险,但腹腔镜导管放置可能会减少闭塞.
科学领域:
- 儿科脏病学 儿科脏病学
- 外科手术的结果
- 脏替代疗法治疗 脏替代疗法
背景情况:
- 腹腔透析 (PD) 是儿童常见的替代疗法.
- 放置PD导管与显著的早期和晚期并发症有关.
- 确定术后风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 评估影响儿科患者腹膜透析导管 (PDC) 并发症的周围手术因素.
- 为了比较开放式和腹腔镜PDC插入技术之间的并发症率.
- 为了确定PDC相关不良事件的患者特异性风险因素.
主要方法:
- 对接受PDC安置的92名儿科患者的临床记录进行了回顾性分析 (2013年1月 - 2016年6月).
- 收集的数据包括社会人口统计学和外科手术期间的变量.
- 统计分析以确定并发症的重大风险因素.
主要成果:
- 主要PDC故障发生在21.74%,其中17.39%需要重新操作.
- 常见的并发症包括闭塞 (13.04%) 和泄漏 (8.7%).
- 年龄较小 (<1岁) 和体重较低 (<10公斤) 是功能障碍,重新手术,泄漏,闭塞,和死亡的重要风险因素. 与开放技术相比,腹腔镜技术减少了38%的闭塞,并与操作,泄漏和腹膜炎的风险较低相关.
结论:
- 1岁以下,体重小于10公斤的婴儿患PDC并发症和死亡风险更高.
- 导管失效是最常见的并发症.
- 腹腔镜PDC放置似乎是一个更安全的技术,减少并发症率,特别是导管封闭.
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