自制双侧孔腹腔引流管用于癌性腹水引流的研究

Effect Research of Self-made Peritoneal Cavity Drainage Tube with Two Lateral Apertures for Malignant Ascites

目的探讨自制双侧孔腹腔引流管对癌性腹水的引流效果。方法64例癌性腹水病人随机分为实验组和对照组,各32例。实验组采用自制双侧孔腹腔引流管引流;对照组采用中心静脉导管引流。结果术后5 d内实验组发生导管阻塞3例(9.4%),明显低于对照组的13例(40.6%)(P<0.01)。实验组发生导管扭曲6例(18.7%),对照组2例(6.2%)。实验组发生管周渗液8例(25.0%),对照组10例(31.2%),两组导管扭曲发生率、管周渗液率比较均无差异(P>0.05)。结论自制双侧孔腹腔引流管用于癌性腹水的引流具有取材方便、操作简便、创伤小及成本低的优点。

Objective To study drainage effect of self-made peritoneal cavity drainage tube with two lateral apertures for malignant ascites Methods 64 patients with malignant ascites were randomly divided into two groups,with 32 cases for each.The experimental group was drained by self-made peritoneal cavity drainage tube with two lateral apertures,and the control group by central venous catheter.Results The catheter obstruction rate of the experimental group was 9.4%（3/32）,and was obviously lower than 40.6%（13/32） of the control group（P〈0.01）.In the experimental group and the control group,6（18.7%） and 2（6.2%） occurred catheter kink,and 8（25.0%） and 10（31.2%） occurred peritubular effusion,respectively.There was no statistical difference（P〉0.05）. Conclusion Self-made peritoneal cavity drainage tube with tow lateral apertures is safe,cheap,easy-made and easy-operated for ascites drainage.