Kopecky R T, Funk M M, Kreitzer P R
J Urol. 1985 Nov;134(5):880-4. doi: 10.1016/s0022-5347(17)47505-7.
Localized genital edema occurred in 8 of 81 patients (10 per cent) undergoing continuous ambulatory peritoneal dialysis. Underlying causes included defects in the inguinal canal and noninguinal peritoneal leaks that were localized with clinical, radiographic and scintigraphic techniques. Management included temporary cessation of continuous ambulatory peritoneal dialysis exchanges in half of the patients, particularly those with recently inserted catheters. Surgical repair was recommended in all cases when inguinal defects were identified. Edema resolved permanently in 6 patients and all patients were able to remain on continuous ambulatory peritoneal dialysis.
81例接受持续性非卧床腹膜透析的患者中有8例（10%）出现局部生殖器水肿。潜在病因包括腹股沟管缺陷和非腹股沟腹膜渗漏，通过临床、影像学和闪烁扫描技术得以定位。处理措施包括半数患者暂时停止持续性非卧床腹膜透析换液，尤其是那些近期置管的患者。当发现腹股沟缺陷时，所有病例均建议进行手术修复。6例患者水肿完全消退，所有患者均能够继续进行持续性非卧床腹膜透析。
