Laparoscopic salpingectomy: the definitive treatment for peritoneal dialysis catheter outflow obstruction caused by oviductal fimbriae.
Laparoscopic salpingectomy: the definitive treatment for peritoneal dialysis catheter outflow obstruction caused by oviductal fimbriae.
复制标题
腹腔镜输卵管切除术：输卵管菌毛引起的腹膜透析导管流出道阻塞的最终治疗方法。
DOI：
10.1089/109264203321235511
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Z. Korzets
中科院分区：
文献类型：
--
作者：
Z. Klein;E. Magen;A. Fishman;Z. Korzets
腹膜透析的成功维持取决于功能良好的永久性腹膜透析导管。导管流动阻塞是技术故障的常见原因。它通常是由于导管移位、网膜或小肠截留或纤维蛋白凝块而发生。输卵管伞阻塞的报道很少。我们描述了这样的情况下，在一个56岁的妇女，其中阻塞伞被释放的导管首次腹腔镜检查。然而，此后不久，输卵管阻塞复发，有必要进行腹腔镜双侧输卵管切除术。我们建议，在没有任何未来的生育问题，腹腔镜输卵管切除术应被认为是在这种情况下的管理程序的选择。
The successful maintenance of peritoneal dialysis depends on a well-functioning permanent peritoneal dialysis catheter. Catheter flow obstruction is a common cause of technical failure. It usually occurs as a result of catheter migration, omental or small bowel entrapment, or fibrin clots. Obstruction by oviductal fimbriae has only rarely been reported. We describe such a case in a 56-year-old woman in whom the obstructing fimbriae were released from the catheter on initial laparoscopy. However, shortly thereafter, recurring tubal impediment to flow made it necessary to perform laparoscopic bilateral salpingectomy. We suggest that in the absence of any future fertility issues, laparoscopic salpingectomy should be considered the procedure of choice in the management of this condition.