Singh Shivendra, Prakash Jai, Singh R G, Dole P K, Pant Pragya
Department of Nephrology, IMS, BHU, Varanasi, 221005, India.
Int Urol Nephrol. 2015 Oct;47(10):1735-8. doi: 10.1007/s11255-015-1081-2. Epub 2015 Sep 2.
To evaluate the incidence of mechanical and infectious complications of conventional straight catheter (SC) versus swan-neck straight catheter (SNSC) implanted by percutaneous method.
We retrospectively analyzed 45 catheter insertions being done by percutaneous method from January 1, 2011, to May 31, 2014. SC was inserted in 24 patients, and SNSC was inserted in 21 patients. Baseline characteristics for the two groups were similar with respect to age, sex and diabetic nephropathy as the cause for end-stage renal disease.
Incidence of mechanical and infectious complications in SNSC group was found to be low as compared to the SC group and was statistically significant (1 in 11.6 patient months vs. 1 in 14.4 patient months, p = 0.02). Catheter migration was found to be the most common mechanical complication (20 %), and peritonitis was found to be the most common infectious complication in conventional SC group (27 episodes in 420 patient months vs. 11 episodes in 333 patient months, p = 0.03). The incidence of exit site and tunnel infection rates revealed no difference between the groups.
SNSC insertion by percutaneous method is associated with low mechanical and infectious complications.
评估经皮植入传统直导管（SC）与鹅颈直导管（SNSC）的机械性和感染性并发症的发生率。
我们回顾性分析了2011年1月1日至2014年5月31日期间经皮进行的45例导管插入术。24例患者插入了SC，21例患者插入了SNSC。两组在年龄、性别以及作为终末期肾病病因的糖尿病肾病方面的基线特征相似。
发现SNSC组的机械性和感染性并发症发生率低于SC组，且具有统计学意义（每11.6患者月1例 vs. 每14.4患者月1例，p = 0.02）。导管移位是最常见的机械性并发症（20%），腹膜炎是传统SC组最常见的感染性并发症（420患者月内27例 vs. 333患者月内11例，p = 0.03）。两组在出口部位和隧道感染率方面的发生率无差异。
经皮插入SNSC与较低的机械性和感染性并发症相关。
