中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (02): 121-124.doi: 10.3969/j.issn.1671-4091.2024.02.009

• 综述 • 上一篇    下一篇

改良的经皮腹膜透析置管术的临床应用现状

杨韵璇   杜玄一   

  1. 150086 哈尔滨，1哈尔滨医科大学附属第二医院肾内科
  • 收稿日期:2023-09-25 修回日期:2023-11-10 出版日期:2024-02-12 发布日期:2024-02-12
  • 通讯作者: 杜玄一 E-mail:dxy_shennei@126.com

Current status and clinical use of modified percutaneous peritoneal dialysis catheterization

YANG Yun-xuan, DU Xuan-yi   

  1. Department of Nephrology, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China
  • Received:2023-09-25 Revised:2023-11-10 Online:2024-02-12 Published:2024-02-12
  • Contact: 150086 哈尔滨，1哈尔滨医科大学附属第二医院肾内科 E-mail:dxy_shennei@126.com

摘要： 一根功能良好的腹膜透析导管(peritoneal dialysis catheter,PDC)是腹膜透析(peritoneal dialysis,PD)成功的关键和前提。目前尚未就PDC放置的最佳方法达成共识。超声引导下Selinger经皮穿刺PD置管术是目前较为成熟的置管方法。然而仍会因导管移位、渗漏、腹膜炎等技术或感染的原因而终止PD。因此不断改良置管技术，进一步提高导管技术生存率是目前亟需解决的问题。本文主要就Seldinger经皮PDC置入手术部分程序的改良及优越性作一综述。

关键词: 腹膜透析, 改良经皮穿刺置管术, Seldinger法, 超声引导

Abstract: A well-functioning peritoneal dialysis catheter (PDC) is a critical prerequisite for successful peritoneal dialysis (PD) therapy. There is no consensus about the best method for PDC placement. Ultrasound-guided Seldinger percutaneous puncture PD placement is now a well-established technology. However PD can still be terminated due to technical or infectious reasons such as catheter migration, leakage, and peritonitis. Therefore, continuous improvement of catheter placement techniques to increase catheter technical survival is an urgent issue to be solved. This article focuses on the improvement of operation procedures and the advantages of Seldinger percutaneous PDC placement.

Key words: Peritoneal dialysis, Modified percutaneous catheterization, Seldinger method, Ultrasound guidance

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