透析导管插入和并发症的比较在超声波指导下与或没有光镜辅助:一个随机研究
Sushma Konnepati1, Jasmine Sethi2, Anupam Lal3
1Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian journal of nephrology
|August 19, 2024
概括
在没有光镜的情况下,超声波引导的道化透析导管插入与光镜一样有效,在并发症和更短的程序时间方面没有差异. 这一发现支持其在经验丰富的手中用于透析导管放置.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 干预性放射学 干预性放射学
- 医疗器械 医疗器械
背景情况:
- 光镜是导管插入的标准,但对超声波指导技术的数据有限.
- 通过超声波引导的道化透析导管 (TDC) 插入的并发症需要进行比较.
研究的目的:
- 为了比较超声导向TDC插入的并发症,有和没有光学辅助.
- 评估无光镜超声波导向TDC插入的有效性和安全性.
主要方法:
- 一个单中心随机对照试验 (RCT) 招募了149名接受TDC插入的患者.
- 患者被随机分为两个组:没有光镜的超声导入 (A组,n=87) 和光镜 (B组,n=62).
- 机械性,感染性和血栓性并发症在基线和1个月后期进行了比较.
主要成果:
- 在两组中,TDC插入成功率为100%.
- 在非光镜组中,手术时间显著缩短 (41.26分 vs 47.74分,P=0.007).
- 两组之间在插入容易度,出口部出血或机械,感染和血栓并发症方面没有发现显著差异.
结论:
- 光镜在减少超声波导向TDC插入并发症方面没有提供额外的好处.
- 在没有光镜的情况下,超声导向的TDC插入是经验丰富的人手中安全有效的替代方案.
- 这种技术可以减少手术时间,而不会影响患者的治疗结果.
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