Shah G M, Sabo A, Nguyen T, Juler G L
Department of Medicine and Surgery, University of California, Irvine.
Int J Artif Organs. 1990 May;13(5):267-72.
A functioning peritoneal access is crucial to the success of peritoneal dialysis. We report retrospective analysis of our experience using 44 Tenckhoff and 23 column disc, double-cuff, catheters in 46 patients receiving peritoneal dialysis. Postoperative care was identical in both groups. Both catheter groups were comparable with regards to age, sex, obesity and prior abdominal surgery. Catheter removal due to drainage failure was significantly greater with the column disc than the Tenckhoff catheters (22% vs 5%, p = 0.04). In addition, 39% of column disc catheters compared to 11% Tenckhoff catheters were removed as a result of therapy resistant peritonitis (p = 0.011). Furthermore, there was a greater incidence of peritonitis with the column disc than with the Tenckhoff catheters at the end of the first year (71% vs 42%, p less than 0.01). There was no difference between the two groups with respect to other complications, such as pericatheter leak, catheter infections, catheter cuff-extrusion or hernia. Our experience indicates that the column disc catheter is associated with higher complication rates and does not offer any advantage over the Tenckhoff catheter.
建立有效的腹膜通路对于腹膜透析的成功至关重要。我们报告了对46例接受腹膜透析患者使用44根Tenckhoff导管和23根柱状盘式双套囊导管的经验进行的回顾性分析。两组术后护理相同。两组导管在年龄、性别、肥胖程度和既往腹部手术方面具有可比性。柱状盘式导管因引流失败而拔除的比例显著高于Tenckhoff导管（22%对5%，p = 0.04）。此外，39%的柱状盘式导管因治疗抵抗性腹膜炎而拔除，而Tenckhoff导管为11%（p = 0.011）。此外，在第一年末，柱状盘式导管的腹膜炎发生率高于Tenckhoff导管（71%对42%，p＜0.01）。两组在其他并发症方面无差异，如导管周围渗漏、导管感染、导管套囊挤出或疝气。我们的经验表明，柱状盘式导管并发症发生率较高，与Tenckhoff导管相比没有任何优势。
