腹腔内粘附与腹腔透析导管相关并发症的关联
Mohammad Azfar Qureshi1, Serban Maierean2, John H Crabtree3
1Division of Nephrology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Clinical journal of the American Society of Nephrology : CJASN
|January 8, 2024
概括
腹腔内粘附会增加腹膜透析 (PD) 导管并发症的风险,包括疼痛和流量问题. 然而,大多数患有或没有粘附的患者不会出现需要PD终止的严重并发症.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 手术并发症 手术并发症
- 医疗设备的性能 医疗设备的性能
背景情况:
- 腹腔内粘附是一种已知的术后并发症.
- 它们对腹膜透析 (PD) 导管功能和并发症的影响需要进一步调查.
研究的目的:
- 调查腹腔内粘附和PD导管相关并发症之间的关联.
- 为了确定在PD导管插入过程中形成粘附的危险因素.
主要方法:
- 预计将在8个中心招募758名接受腹腔镜PD导管插入的患者.
- 根据粘附的存在或不存在来对患者进行分组.
- 主要结局:PD非启动,终止或由于6个月内的并发症而导致的侵入性手术的复合.
主要成果:
- 27%的患者在插入过程中出现粘附.
- 粘附组在6个月内显示主要结果的风险较高 (17%vs10%).
- 粘附,特别是在腹部/骨盆下部,与并发症风险增加和需要侵入性手术 (13%与8%相比) 相关.
- 粘附的危险因素包括女性性别,较高的BMI和之前的腹部手术.
结论:
- 腹腔内粘附增加了PD导管并发症的风险,包括疼痛,流量限制和干预的需要.
- 虽然粘结会增加风险,但大多数患有或没有粘结的患者不会出现导致PD终止的并发症.
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