背景:PD导管尖端迁移是常见的并发症,也是导管故障的重要原因。从这个角度来看,我们介绍了我们在新导管和新技术方面的经验,该技术涉及使用新的三袖带PD导管和低进入部位,以试图防止PD导管迁移.
方法:在5年的时间里,在一个以上的PD中心对503例PD患者进行了研究。
结果:在5年随访期间,我们记录的导管迁移百分比为零。其他技术并发症为引流不良,占3.4%,网膜包裹占2.8%,早期渗漏3.4%,导管置换占2.4%。在研究结束时,PD导管1年生存率为97.6%.
结论:我们的新型三套囊PD导管和我们的低进入方法似乎在预防PD导管迁移和减少其他机械并发症方面有效。
BACKGROUND: PD catheter tip migration is a common complication and a significant cause of catheter malfunction. In this perspective, we present our experience with a new catheter and a new technique that involves the use of a new triple cuff PD catheter and a low entry site in an attempt to prevent PD catheter migration.
METHODS: A total of 503 incident PD patients have been studied in more than one PD center over a period of 5 years.
RESULTS: During the 5-year follow up we recorded zero percent catheter migration. Other technical complications were poor drainage in 3.4%, omental wrap in 2.8%, early leakage in 3.4%, and catheter replacement in 2.4%. By the end of the study, the one-year PD catheter survival was 97.6%.
CONCLUSIONS: Our new triple cuff PD catheter and our low-entry approach seem to be effective in preventing PD catheter migration and minimizing other mechanical complications.