【摘要】目的研究自动化腹膜透析(automated peritoneal dialysis,APD)在腹膜透析患者行腹壁疝修补术后过渡期透析中的应用。方法入选上海交通大学医学院附属仁济医院腹膜透析中心2006 年6 月～2013 年1 月长期腹膜透析患者行腹壁疝修补术后过渡期采用APD 作为透析方式的患者，观察APD 的疗效、腹膜透析相关并发症的发生及转归情况。结果2006 年6 月～2013 年1 月本中心长期腹膜透析患者511 例，因腹壁疝行腹壁疝修补术后采用APD 作为过渡期透析方式患者20 例，其中腹股沟斜疝15 例，脐疝3 例，切口疝2 例。术后1 月内无人出现腹壁疝复发、切口相关并发症、渗漏、腹膜透析导管功能障碍、腹膜透析相关性腹膜炎等并发症。术后6 月内仅1 例患者发生腹膜透析相关性腹膜炎，术后12 月内发生腹膜透析相关性腹膜炎共4 例次,予抗感染治疗后均治愈，无人终止腹膜透析转血液透析。结论APD 作为腹膜透析患者腹壁疝修补术后过渡期的透析方式具有应用前景。

【Abstract】Objective To investigate automated peritoneal dialysis (APD) for peritoneal dialysis (PD) patients in the postoperative period of hernioplasty for abdominal wall hernia. Methods We recruited PD patients treated with APD in the postoperative period of hernioplasty for abdominal wall hernia from June
2006 to January 2013 in Ren Ji Hospital affiliated to Shanghai Jiao Tong University School of Medicine. PDrelated complications, cases transferred to hemodialysis, and mortality within one month, 6 months and 12 months after operation were observed. Results In the 511 PD patients in our center, 20 patients were treated with APD in the postoperative period of hernioplasty for inguinal (n=15), umbilical (n=3) or incision hernia (n=2). None of the patients were found to have wound infection, hernia recurrence, leakage, catheter-related complications, or peritonitis within one month after operation. Peritonitis occurred in one patient after the operation for 6 months and in 4 patients after the operation for 12 months; they recovered completely after antibiotics treatment. None of the patients were changed to hemodialysis. Conclusions Postoperative dialysis with APD can be applied to PD patients after hernioplasty.