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首页> 外文期刊>Open Journal of Nephrology >Mechanical Complications of Peritoneal Dialysis
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Mechanical Complications of Peritoneal Dialysis

机译：腹膜透析的机械并发症

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Introduction: The key to a successful chronic peritoneal dialysis is a permanent and safe access to the peritoneal cavity. The mechanical complications of peritoneal dialysis (MCPD) are a major cause of the failure of the technique. The aim of the study was to define the prevalence of peritoneal dialysis (PD) mechanical catheter complications, to determine the time and the factors associated with their occurring. Materials and Methods: A retrospective study was conducted between January 2009 and January 2014 at the nephrology, dialysis and renal transplants department of Ibn Sina university hospital in Rabat. We included all patients who were on peritoneal dialysis and presented mechanical complications. These mechanical catheter complications are represented by catheter migration or obstruction, inguinal or umbilical hernias, early and late peritoneal dialysate leakage, subcutaneous cuff extrusion and hemoperitoneum. Results: MCPD were noted in 23 of the 62 patients (37% of cases). Onset time of complications was 24.8 ± 18.9 months [3 - 60 months]. Among these complications, we noted a catheter migration (65.2%), postoperative hematoma (21.7%), cracking or perforation of catheter (17.4%), epiploic aspiration (17.4%), sleeve externalization (17.4%), catheter obstruction (13%), hemoperitoneum (13%), hernia (22%; 13% umbilical and 8.7% inguinal), early dialysate leakage (13%), and pleuroperitoneal leakage (8.7%). The average age of our patients was 54.9 ± 15.5 years [21 - 81 years old], with a male predominance and a sex ratio of 2.28. The average body mass index (BMI) was 25.4 kg/m2. Diabetic patients represent 48.7% of our series. In our study, MCPD represent 13% of causes of transfer to hemodialysis (HD). Conclusion: Prevention of MCPD remains crucial. It is based on good patient education on hygiene and handling errors but also periodic retraining of patients and caregivers.
机译：简介：成功进行慢性腹膜透析的关键是永久，安全地进入腹膜腔。腹膜透析（MCPD）的机械并发症是该技术失败的主要原因。这项研究的目的是确定腹膜透析（PD）机械导管并发症的发生率，以确定发生时间和相关因素。材料与方法：回顾性研究于2009年1月至2014年1月之间在拉巴特的伊本·西那大学医院的肾脏科，透析科和肾脏移植科进行。我们纳入了所有接受腹膜透析并出现机械并发症的患者。这些机械性导管并发症表现为导管迁移或阻塞，腹股沟或脐疝，早期和晚期腹膜透析液渗漏，皮下套囊挤压术和腹膜出血。结果：62名患者中有23名（占病例的37％）注意到了MCPD。并发症的发作时间为24.8±18.9个月[3-60个月]。在这些并发症中，我们注意到导管移位（65.2％），术后血肿（21.7％），导管破裂或穿孔（17.4％），鼻外吸（17.4％），套管外翻（17.4％），导管阻塞（13％） ），腹膜出血（13％），疝气（22％;脐带13％和腹股沟8.7％），早期透析液渗漏（13％）和胸膜腹膜渗漏（8.7％）。我们患者的平均年龄为54.9±15.5岁[21-81岁]，其中男性占主导地位，性别比为2.28。平均体重指数（BMI）为25.4 kg / m2。糖尿病患者占我们系列的48.7％。在我们的研究中，MCPD占转移到血液透析（HD）的原因的13％。结论：预防MCPD仍然至关重要。它基于对患者的卫生和处理错误的良好教育，而且还对患者和护理人员进行定期再培训。

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