摘要
目的探讨慢性肾功能不全合并腹外疝病人不改变腹膜透析情况下接受无张力疝修补手术治疗的临床疗效。方法回顾性分析2007年5月至2012年8月北京大学第一医院收治的21例慢性肾功能不全合并腹外疝病人的临床资料,均在腹膜透析下接受无张力疝修补术治疗,术后随访观察疗效。结果 21例病人共施行了22例次疝修补术,无手术并发症发生,术后随访时间为40.3（16~79）个月,均获得随访,无疝复发病例。1例病人术后1年因腹膜粘连改为血液透析,并于疝修补术后2年死于肺部感染。另1例术后2年因腹膜粘连改为血液透析。结论对持续性非卧床腹膜透析合并腹外疝病人,不改变腹膜透析情况下实施无张力疝修补安全可行,未见疝复发。
Objective To investigate the curative effect of abdominal hernia patients with continuous ambulatory peritoneal dialysis undergoing tension-free hernia repair surgery without terminating peritoneal dialysis. Methods A total of 21 abdominal hernia patients who received continuous ambulatory peritoneal dialysis （CAPD） because of chronic kidney diseases （CKD） from May 2007 to August 2012 in Peking University First Hospital were included in the retrospective analysis. The curative effects were followed up. All of the patients didn＇ t switch to hemodialysis （HD） and resumed peritoneal d!alysis on the first day after operation form low dose and gradually resumed to the dose before operation in 4 weeks. Results All the patients were performed 22 cases of tension-free hernia repair and had no complication. The follow-up was 16 to 79 months and the median of follow-up was 40.3 months. The follow-up rate was 100% and there was no case of recurrence. Among them, 1 case transferred to hemodialysis l year after operation because of peritoneal adhesion and died of lung infection 2 years after operation. Another 1 case transferred to hemodialysis 2 year after operation because of peritoneal adhesion Conclusion It is safe for abdominal hernia patients who received CAPD undergoing tension-free hernia repair surgery without transferring peritoneal dialysis to hematodialysis, and it won＇ t increase complications and recurrence rate after operations.
出处
《中国实用外科杂志》
CSCD
北大核心
2014年第11期1078-1079,共2页
Chinese Journal of Practical Surgery
关键词
疝
无张力
疝修补术
腹膜透析
慢性肾功能不全
hernia
tension-free
hernia repair surgery
peritoneal dialysis
chronic kidney disease
