输尿管镜腹膜透析管置入的效果观察

Clinical efficacy of ureteroscope-assisted placement of peritoneal dialysis catheters

目的比较输尿管镜与开腹手术行腹膜透析管置入的效果。方法 151例慢性肾功能衰竭患者分别进行输尿管镜(68例)或开腹手术(83例)腹膜透析置管术。比较两组手术时间、术中出血量、术后VAS疼痛评分、下床活动时间及腹膜透析相关并发症。结果输尿管镜组手术时间、术中出血量、术后VAS疼痛评分明显少于开腹组,下床活动时间较开腹组快,腹膜透析相关并发症低于开腹组(P<0.01或0.05)。结论输尿管镜腹膜透析管置入可缩短手术时间,减少腹膜透析相关并发症。

Objective To compare the clinical efficacy of ureteroscope-assisted versus laparotomic placement of peritoneal dialysis catheters. Methods A total of 151 patients with chronic renal failure underwent ureteroscope-assisted(n=68) or laparotomic(n=83) placement of peritoneal dialysis catheters. Operative time, intraoperative blood loss, postoperative VAS pain score, ambulation time, and peritoneal dialysis(PD)-related complications were compared between 2 groups. Results Compared with laparotomy group, operation time, intraoperative blood loss, postoperative VAS pain score and PD-related complications were lower, and ambulation time was faster in ureteroscopy group(P<0.01 or 0.05). Conclusion Ureteroscope-assisted placement of peritoneal dialysis catheters can decrease operation time and reduce PDrelated complications.