在腹腔透析患者中治疗复发性
Long Hao1, Xiaoming Hong1, Hongcun Sha1
1Department of General Surgery, Ningbo Yinzhou No.2 Hospital, Ningbo 315000, China.
Journal of surgical case reports
|October 30, 2023
概括
腹透析患者患有复发的股骨椎间,可以通过腹腔镜通过腹腔穿越腹腔前修复成功治疗. 这种方法可以确保缺少,并长期保持腹膜透析导管的功能.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
背景情况:
- 腹腔透析 (PD) 是对末期病的常见治疗方法,提供方便和成本效益.
- 长期的PD可能会增加 inguinal hernias 的风险,需要及时的手术干预.
- 在PD患者中,复发性带来了独特的挑战,报告的治疗策略有限.
研究的目的:
- 在接受腹腔透析的患者中描述复发性股骨椎的成功治疗方法.
- 在这个特定的患者群体中评估腹腔镜横行腹腔前 (TAPP) 修复的疗效和安全性.
主要方法:
- 一个女性PD患者的病例报告,在初级修复后出现了复发性大腿.
- 使用 laparoscopic transabdominal preperitoneal (TAPP) 间隙修复的手术干预.
- 暂时的血液透析,然后逐渐恢复PD剂量.
主要成果:
- 腹腔镜TAPP修复在技术上是成功的.
- 在36个月的随访期间,没有观察到的复发.
- 腹膜透析导管在整个随访期间保持功能.
结论:
- 腹腔镜TAPP修复是一种可行的和有效的选择,用于管理PD患者的复发性椎间.
- 这种手术方法可以实现长期的缺陷关闭,而不会损害PD导管功能.
- 需要进一步的研究来确定TAPP作为PD患者复发性的标准治疗方法.
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