A Prospective Randomized Comparison of the Swan Neck, Coiled, and Straight Tenckhoff Catheters in Patients on Capd
A Prospective Randomized Comparison of the Swan Neck, Coiled, and Straight Tenckhoff Catheters in Patients on Capd
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Capd 患者中鹅颈形导管、螺旋形导管和 Tenckhoff 直形导管的前瞻性随机比较
DOI：
10.1177/089686089601601s64
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发表时间：
1996
影响因子：
2.8
通讯作者：
E. J. Lee
中科院分区：
文献类型：
--
作者：
W. Lye;N. Kour;J. C. Van Der Straaten;S. Leong;E. J. Lee
我们的目的是在一项前瞻性随机试验中研究腹膜导管配置对持续动态腹膜透析（CAPO）相关感染、机械并发症和患者退出的影响。连续40例开始CAPO的患者随机接受双袖天鹅颈卷管或双袖Tenckhoff直管，通过外科技术植入。两组患者腹膜炎发生率差异无统计学意义。天鹅颈组出口部位感染发生率低于直管组（0.29 vs 0.60次/患者年，p < 0.05）。与1例天鹅颈导管患者相比，3例直管患者出现导管尖端移位。没有患者因为机械性并发症而中断CAPO。两组间CAPO患者退出人数无显著差异。天鹅颈结构导致出口部位感染率显著降低。导管的盘绕部分可减少导管尖端移位的发作。然而，导管配置不影响技术失败的数量。
Our objective was to study the impact of peritoneal catheter configuration on continuous ambulatory peritoneal dialysis (CAPO)-related infections, mechanical complications, and patient dropout in a prospective randomized trial. Forty consecutive patients who were commencing CAPO were randomized to receive either a double-cuff, Swan neck coiled catheter or a double-cuff, straight Tenckhoff catheter, implanted by surgical technique. There was no significant difference in the peritonitis rate between the two groups. There was a lower rate of exit-site infection in the Swan neck group compared to the straight catheter group (0.29 vs 0.60 eplsodes/patientyear, p < 0.05). Catheter-tip migration occurred in 3 patients with the straight catheters compared to one patient with the Swan neck catheter. No patient had to discontinue CAPO because of mechanical complications. The number of CAPO patient dropouts was not significantly different between the two groups. The Swan neck configuration resulted in a significant reduction in the rate of exit-site infections. The coiled component of the catheter may lead to fewer episodes of catheter-tip migration. However, catheter configuration did not influence the number of technique failures.