Gudsoorkar Prakash S, Penner Todd, Jassal S Vanita, Bargman Joanne M
Division of Nephrology, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
Department of Surgery, University of Toronto, University Health Network, Toronto, Ontario, Canada.
Perit Dial Int. 2016 Jul-Aug;36(4):459-61. doi: 10.3747/pdi.2015.00125.
Successful performance of peritoneal dialysis (PD) depends on a properly functioning PD catheter. Catheter malfunction remains a significant cause of technique failure, especially early in the course of therapy. Common causes of catheter malfunction include catheter displacement, omental or bowel wrapping, and fibrin clots. Less commonly, various intraperitoneal structures have been reported to lead to obstruction, including appendices epiploicae of sigmoid colon and the fallopian tube. Peritoneal dialysis catheter blockage due to fimbriae of the fallopian tube is being recognized as an important cause of catheter malfunction in females due to the increasing availability of diagnostic laparoscopy. We report 5 episodes of catheter malfunction in 4 patients on PD from a single center as a result of obstruction by the fallopian tube.
腹膜透析（PD）的成功实施依赖于功能正常的PD导管。导管故障仍然是技术失败的一个重要原因，尤其是在治疗早期。导管故障的常见原因包括导管移位、网膜或肠管包裹以及纤维蛋白凝块。较少见的是，据报道各种腹腔内结构会导致梗阻，包括乙状结肠的网膜阑尾和输卵管。由于诊断性腹腔镜检查的可用性增加，输卵管伞端导致的腹膜透析导管堵塞正被认为是女性导管故障的一个重要原因。我们报告了来自单一中心的4例接受PD治疗的患者发生的5次导管故障事件，这些故障是由输卵管梗阻引起的。
