Hacettepe University, Faculty of Medicine, Department of Radiology, 06100 Ankara, Turkey.
Eur J Radiol. 2011 Nov;80(2):265-8. doi: 10.1016/j.ejrad.2010.06.047. Epub 2010 Aug 6.
The purpose of this study was to evaluate retrospectively the safety and effectiveness of radiologically placed tunneled peritoneal catheter in palliation of malignant ascites. Between July 2005 and June 2009, 41 tunneled peritoneal catheters were placed under ultrasonographic and fluoroscopic guidance in 40 patients (mean age, 55 years; 22 women) who had symptomatic malignant ascites. No procedure related mortality was observed. Major complication occurred in one patient (2.5%) in the form of serious bacterial peritonitis that necessitated catheter removal. Minor complications such as minor bacterial peritonitis, catheter dislodgement, tunnel infection, and catheter blockage occurred in 11 patients (27.5%). The mean duration of survival after catheter placement was 11.8 weeks. All patients expired of their primary malignancies in the follow-up. Radiologically placed tunneled peritoneal catheter is safe and effective in palliation of symptomatic malignant ascites.
本研究旨在回顾性评估经影像学引导下放置隧道式腹膜导管在治疗恶性腹水患者中的安全性和有效性。2005 年 7 月至 2009 年 6 月，40 例有症状的恶性腹水患者（平均年龄 55 岁；22 名女性）在超声和 X 线引导下接受了 41 次隧道式腹膜导管置管术。无与手术相关的死亡病例。1 例（2.5%）患者发生严重细菌性腹膜炎，需要拔除导管，这是一种主要并发症。11 例（27.5%）患者出现轻微并发症，如轻微细菌性腹膜炎、导管移位、隧道感染和导管堵塞。导管放置后平均生存时间为 11.8 周。所有患者在随访期间均因原发性恶性肿瘤死亡。经影像学引导下放置隧道式腹膜导管是治疗症状性恶性腹水安全有效的方法。
