腹腔透析患者的管理和结果被诊断为腹腔
Cristian Iorga1,2, Cristina Raluca Iorga1,2, Iuliana Andreiana1,3
1Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Life (Basel, Switzerland)
|August 29, 2024
概括
在腹腔透析 (PD) 之前,常规查和修复腹腔,显著减少了PD相关的. 在修复后,在多学科团队的指导下,术后的PD延续是可行的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 腹腔透析 (PD) 的成功取决于腹壁的完整性.
- 腹可以导致PD失败,停止治疗,并转换为血液透析 (HD).
- 腹部的积极管理对于持续的PD治疗至关重要.
研究的目的:
- 提出一个检查和治疗PD候选人的腹部的协议.
- 为了评估PD治疗期间头顶缺陷的发生率.
- 评估PD,,和需要HD之间的关系.
主要方法:
- 实施了一项包括PD候选人的常规查和修复的协议.
- 在2016年1月至2022年12月期间,对133名接受PD导管插入的患者进行了评估.
- 患者进行了至少3年的随访,以评估PD期间的顶膜缺陷发生率.
主要成果:
- 9名患者在PD期间没有复发的PD前修复.
- 12名患者 (9%的发病率) 在PD期间发生,中位发病时间为12.5个月.
- 五名患者需要临时或永久的HD;没有患者因而放弃PD.
结论:
- 导管前诊断和修复对于PD候选人来说是强制性的,降低头顶缺陷的发生率.
- 使用全塑性材料进行开放性手术修复是安全的,并且在PD患者中复发率低.
- 术后的PD延续是可行的,需要个性化,多学科的团队决策.
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