Stegmayr B G
Department of Internal Medicine, University Hospital of Northern Sweden, Umeå.
Artif Organs. 1994 Apr;18(4):309-13. doi: 10.1111/j.1525-1594.1994.tb02202.x.
Insertion of a catheter is needed to perform peritoneal dialysis. Techniques for insertion vary and have different drawbacks with regard to risk for leakage, secondary peritonitis, and catheter dysfunction. This study includes 85 consecutive patients who underwent a total of 114 insertions; peritoneal dialysis catheters (Tenckhoff, double-cuffed) were inserted under local anesthesia and using a lateral technique--through the rectus muscle--plus 3 purse-string sutures. Dialysis in all patients was started in the direct course of insertion of the catheter. One early but no late leakage occurred; leakage occurred in a patient in whom the second purse-string suture failed. The lateral insertion technique enables immediate start of dialysis and considerably reduces the risk for leakage from peritoneal dialysis fluid.
进行腹膜透析需要插入导管。插入技术各不相同，在漏液风险、继发性腹膜炎和导管功能障碍方面存在不同的缺点。本研究纳入了85例连续患者，共进行了114次导管插入；腹膜透析导管（Tenckhoff双套囊导管）在局部麻醉下采用外侧技术——穿过腹直肌——并加3针荷包缝合插入。所有患者在导管插入过程中直接开始透析。发生1例早期漏液，但无晚期漏液；漏液发生在第2针荷包缝合失败的患者身上。外侧插入技术能够立即开始透析，并显著降低腹膜透析液漏液的风险。
