通过外科手术方法放置的腹膜透析导管的分析:单中心体验
Mustafa Karaagac1, Sedat Carkit1, Cihan Uysal2
1Department of General Surgery, Erciyes University Faculty of Medicine, Kayseri, Türkiye.
Journal of clinical practice and research
|November 19, 2025
概括
在末期脏疾病 (ESRD) 患者中,腹膜透析导管 (PDC) 的开放性手术放置显示出高并发症率. 肥胖患者 (BMI ≥30) 面临腹膜炎风险增加,需要集中感染管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 手术手术手术手术手术手术手术手术手术手术
- 脏替代疗法治疗 脏替代疗法
背景情况:
- 腹腔透析 (PD) 是一种常见的脏替代疗法,用于末期脏疾病 (ESRD).
- 腹膜透析导管 (PDC) 对PD至关重要,放置技术会影响结果.
- 开放的手术放置是PDC插入的广泛使用的方法.
研究的目的:
- 用开放的外科手术方法评估PDC安置的结果.
- 评估PDC使用的持续时间和相关并发症.
- 研究肥胖 (BMI ≥30) 对PDC并发症的影响.
主要方法:
- 对127名接受开放外科PDC安置的ESRD患者 (2018-2023) 的回顾性分析.
- 收集的数据包括患者人口统计,转换为血液透析的原因和并发症类型.
- 特别关注肥胖患者 (BMI ≥30) 的并发症.
主要成果:
- 55.1%的患者出现并发症,导致31名患者过渡到血液透析.
- 过渡的常见原因:导管问题 (35.4%),腹膜炎 (25.8%),超过失败 (19.3%).
- 肥胖患者没有增加整体并发症风险,但腹膜炎显著增加.
结论:
- 开放的外科PDC安置是有效的,但与显著的并发症率相关.
- 肥胖与腹膜炎风险增加有关,需要有针对性的感染管理策略.
- 对肥胖PD患者来说,加强感染相关并发症的监测和护理至关重要.
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