| 郭林,贺小霞,关心,等.腹膜透析置管术采用超声引导经导丝引导法与传统手术法的比较[J].安徽医药,2021,25(4):782-784. |
| 腹膜透析置管术采用超声引导经导丝引导法与传统手术法的比较 |
| Comparison of ultrasound-guided Seldinger method and traditional operation for peritoneal dialysis catheterization |
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| DOI：10.3969/j.issn.1009-6469.2021.04.036 |
| 中文关键词: 腹膜透析 导管，留置 超声检查 Seldinger法 经皮穿刺技术 |
| 英文关键词: Peritoneal dialysis Catheters, indwelling Ultrasonography Seldinger method Percutaneous puncture technique |
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| 中文摘要: |
| 目的比较超声引导下经导丝引导(Seldinger法)经皮穿刺腹膜透析置管术与传统手术切开腹膜透析置管术的临床效果。方法选择 2017年 1月至 2019年 8月在焦作市人民医院行腹膜透析置管术的病人 60例，采用随机数字表法分为两组(n= 30):对照组为传统手术切开直视下腹膜透析置管术，超声组为超声引导下 Seldinger法经皮穿刺腹膜透析置管术。记录两组病人手术时间、住院时间、术后使用镇痛药物的情况及术后 1个月并发症的发生情况。结果与对照组行置管术的操作时间(51.3±17.1)min比较，超声组(29.6±10.4)min手术时间更短，超声组术后使用镇痛药物的比率(3.3%)比对照组(20%)(P<0.05)而两组术后 1个月内并发症的发生率差异无统计学意义。结论与传统手术切开腹膜透析置管术比较，超声引导下S少eldinger法经皮，穿刺腹膜透析置管术的操作时间短，创伤小，术后病人疼痛轻，使用镇痛药物少，值得推广及肾脏内科医生掌握和应用。 |
| 英文摘要: |
| Objective To compare the clinical effects of ultrasound-guided percutaneous peritoneal dialysis catheter insertionthrough guide wire (Seldinger method) and traditional surgical incision peritoneal dialysis catheter insertion.Methods A total of 60 patients who underwent peritoneal dialysis catheterization in oJiaozuo people's Hospital from January 2017 to August 2019 were selected and randomly assigned into two groups (n=30) using the random number table method: group C was under direct vision of traditionalsurgical incision Peritoneal dialysis catheterization, group S was percutaneous percutaneous puncture peritoneal dialysis catheterizationunder Seldinger method under ultrasound guidance. The operation time, length of hospital stay, postoperative use of analgesics and theoccurrence of complications at 1 month were recorded in the two groups.Results The operation time of (29.6±10.4 min) in the ultrasound group was shorter than that in the control group (51.3±17.1 min), and the proportion of postoperative analgesic drugs used in theultrasound group was less (3.3%) than that in the control group (20%) (P<0.05). There was no significant difference in the incidence of complications within one month between the two groups.Conclusion Compared with traditional surgical incision and peritoneal dialysis catheterization, ultrasound-guided percutaneous peritoneal peritoneal dialysis catheterization with the Seldinger method has shorteroperation time, less trauma, less pain in postoperative patients, less use of analgesics, and is worth promoting and nephrology Doctorsmaster and apply. |
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