Wetherington G M, Leapman S B, Robison R J, Filo R S
Am J Surg. 1985 Sep;150(3):357-60. doi: 10.1016/0002-9610(85)90078-9.
This retrospective analysis of 140 continuous ambulatory peritoneal dialysis patients followed during a 4 year period revealed a 5 percent incidence of abdominal wall hernias. Inguinal hernias were frequently manifested as unilateral scrotal swelling. Hernias too small to be appreciated by physical examination were easily demonstrable with intraperitoneal instillation of technetium 99m sulfur colloid through the continuous ambulatory peritoneal dialysis catheter. This procedure was also useful when differentiating dialysate leaks from inguinal hernia in the early and late postoperative periods. Recurrences developed in 27 percent of the herniorrhaphies. Factors contributing to the development of abdominal wall hernias in continuous ambulatory peritoneal dialysis patients include uremia, obesity, anemia, and chronically elevated intraperitoneal pressures.
这项对140例持续非卧床腹膜透析患者进行的为期4年的回顾性分析显示，腹壁疝的发生率为5%。腹股沟疝常表现为单侧阴囊肿胀。体格检查难以发现的小疝，通过经持续非卧床腹膜透析导管向腹腔内注入99m锝硫胶体很容易显示出来。该方法在术后早期和晚期鉴别腹股沟疝与透析液渗漏时也很有用。疝修补术后复发率为27%。导致持续非卧床腹膜透析患者发生腹壁疝的因素包括尿毒症、肥胖、贫血以及腹腔内压力长期升高。
