Peritoneal Catheters: A Comparative Study of Column Disc and Tenckhoff Catheters
Peritoneal Catheters: A Comparative Study of Column Disc and Tenckhoff Catheters
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腹膜导管：柱盘导管和 Tenckhoff 导管的比较研究
DOI：
10.1177/039139889001300502
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发表时间：
1990
影响因子：
1.7
通讯作者：
G. Juler
中科院分区：
文献类型：
--
作者：
G. M. Shah;A. Sabo;T. Nguyen;G. Juler
功能性腹膜通路对腹膜透析的成功至关重要。我们报告了对46例接受腹膜透析的患者使用44个双囊和23个圆柱圆盘导管的经验进行回顾性分析。两组的术后护理相同。两个导管组在年龄、性别、肥胖和既往腹部手术方面具有可比性。由于引流失败导致的导管移除率，柱盘组显著高于Mixkhoff导管组（22% vs 5%，p = 0.04）。此外，39%的柱状圆盘导管和11%的Sparkhoff导管因难治性腹膜炎而被移除（p = 0.011）。此外，在第一年结束时，使用柱盘的腹膜炎发生率高于使用Rehkhoff导管的腹膜炎发生率（71% vs 42%，p < 0.01）。两组在其他并发症方面没有差异，如导管周围泄漏、导管感染、导管套囊挤出或疝。我们的经验表明，柱状圆盘导管与较高的并发症发生率相关，并且没有提供任何优于Sparkhoff导管的优势
A functioning peritoneal access is crucial to the success of peritoneal dialysis. We report retrospective analysis of our experience using 44 Tenckhoff and 23 column disc, double-cuff, catheters in 46 patients receiving peritoneal dialysis. Postoperative care was identical in both groups. Both catheter groups were comparable with regards to age, sex, obesity and prior abdominal surgery. Catheter removal due to drainage failure was significantly greater with the column disc than the Tenckhoff catheters (22% vs 5%, p = 0.04). In addition, 39% of column disc catheters compared to 11% Tenckhoff catheters were removed as a result of therapy resistant peritonitis (p = 0.011). Furthermore, there was a greater incidence of peritonitis with the column disc than with the Tenckhoff catheters at the end of the first year (71% vs 42%, p < 0.01). There was no difference between the two groups with respect to other complications, such as pericatheter leak, catheter infections, catheter cuff-extrusion or hernia. Our experience indicates that the column disc catheter is associated with higher complication rates and does not offer any advantage over the Tenckhoff catheter