Zigong Third People's Hospital, Zigong, China.
Zigong First People's Hospital, Zigong, China.
Int Wound J. 2024 Apr;21(4):e14800. doi: 10.1111/iwj.14800.
Peritoneal dialysis(PD) is one of the most efficient methods in end-stage kidney disease, and it is very important for PD to perform well. No research has been conducted to evaluate the effect of various types of PD catheters on the prognosis of post-operative wound complications. While recent meta-analyses are in favour of straight tubing, there is still uncertainty as to whether direct or coiled PD is beneficial. The purpose of this meta-analysis was to compare the efficacy of direct and coiled PD catheters on the incidence of post-operative wound infection, bleeding and peritonitis. A comprehensive search was carried out on three databases, including PubMed and Embase, and a manual search was carried out on the links in the paper. The results showed that the incidence rate of bleeding after operation and the degree of infection among the straight and coiled pipes were compared. The results showed that there were no statistically significant differences in the incidence of post-operative wound infection among straight PD patients with coiled PD (OR, 0.79; 95% CI, 0.58-1.08 p = 0.13). No statistical significance was found in the case of PD with coiled tubing compared with that of straight PD group in wound leakage (OR, 1.17; 95% CI, 0.71-1.93 p = 0.55). No statistically significantly different rates of post-operative peritonitis were observed for coiled tubing compared with straight ones in PD patients (OR, 1.06; 95% CI, 0.78-1.45 p = 0.7). There is no statistical significance on the rate of wound infection, wound leakage and peritonitis among coiled and straight tube in PD.
腹膜透析（PD）是终末期肾病最有效的方法之一，良好的 PD 非常重要。目前还没有研究评估各种 PD 导管对术后伤口并发症预后的影响。虽然最近的荟萃分析倾向于直管，但直接或卷曲 PD 是否有益仍存在不确定性。本荟萃分析旨在比较直接和卷曲 PD 导管在术后伤口感染、出血和腹膜炎发生率方面的疗效。在三个数据库（包括 PubMed 和 Embase）上进行了全面搜索，并对论文中的链接进行了手动搜索。结果表明，对直型和卷曲型导管的术后出血发生率和感染程度进行了比较。结果表明，直型 PD 患者和卷曲型 PD 患者术后伤口感染发生率无统计学差异（OR，0.79；95%CI，0.58-1.08 p=0.13）。与直型 PD 组相比，卷曲型 PD 组在伤口漏液方面无统计学意义（OR，1.17；95%CI，0.71-1.93 p=0.55）。与直型 PD 组相比，卷曲型 PD 组术后腹膜炎发生率无统计学差异（OR，1.06；95%CI，0.78-1.45 p=0.7）。在 PD 患者中，卷曲型和直型导管之间的伤口感染、伤口漏液和腹膜炎发生率无统计学差异。
