腹膜透析管路是腹膜透析治疗的基础，合理选择腹膜透析管，规范进行腹膜透析置管操作是保障其功能正常的关键。目前研究表明，各种腹膜透析管在合并症和生存率方面没有显著性差异，但需要注意卷曲状腹膜透析管可能增加透析管移位的风险。腹膜透析置管方式包括开放式手术置管、经皮穿刺置管和腹腔镜置管。各种方式各有优势，需要根据患者的状况和医生的技术进行选择。超声检查和放射介入技术在腹膜透析置管中可以发挥辅助作用，以保障成功率和安全性。先进的腹腔镜腹膜透析置管可以用于腹腔内存在复杂并发症的患者。可靠的腹膜透析置管技术和合理的腹膜透析处方，有助于减少紧急启动腹膜透析中透析液渗漏的发生。
Peritoneal dialysis catheter is the basic foundation of peritoneal dialysis treatment. Reasonable selection of peritoneal dialysis catheter and standardized peritoneal dialysis tube placement are the keys to ensure its normal function. Current studies have shown that there is no significant difference in complications and outcomes among various peritoneal dialysis catheters, but it should be noted that the coiled-tail peritoneal dialysis catheters may increase the risk of catheter migration. Peritoneal dialysis catheterization methods include open surgical catheterization, percutaneous puncture catheterization, endoscopic / laparoscopic catheterization. Each method has its own advantages and needs to be selected according to the condition of patients and the technology of doctors. Ultrasound and radiation intervention technology can play an auxiliary role in peritoneal dialysis catheterization to ensure the success rate and safety. Advanced laparoscopic peritoneal dialysis catheter insertion can be used in patients with complex complication in the abdominal cavity. Reliable peritoneal dialysis catheterization technology and reasonable peritoneal dialysis prescription are helpful to reduce the occurrence of dialysate leakage in emergency start-up peritoneal dialysis.
[1] Crabtree JH, Shrestha BM, Chow KM, Figueiredo AE, et al.Creating and Maintaining Optimal Peritoneal Dialysis Access in the Adult Patient: 2019 Update.[J].Perit Dial Int, 2019, 5(39):414-436
[2] Xie J, Kiryluk K, Ren H, et al.Coiled Versus Straight Peritoneal Dialysis Catheters: A Randomized Controlled Trial and Meta-analysis.[J].Am J Kidney Dis, 2011, 58(6):946-955
[3] Hagen SM, Lafranca JA, ?zermans JN, et al.A systematic review and meta-analysis of the influence of peritoneal dialysis catheter type on complication rate and catheter survival.[J].Kidney Int, 2014, 85(4):920-932
[4] Crabtree JH, Chow KM.Peritoneal Dialysis Catheter Insertion.[J].Semin Nephrol, 2017, 37(1):17-29
[5] Gong L, Xu W, Tang W, et al.Low-site versus traditional peritoneal dialysis catheterization: A meta-analysis.[J].Medicine (Baltimore), 2020, 99(48):e23311-
[6] 韩庆烽, 孙玲华, 聂建东, 等.经皮穿刺腹膜透析置管术的临床应用[J].中国血液净化, 2014, 13(10):686-688
[7] Niyyar VD.Ultrasound in dialysis access: Opportunities and challenges [J]. J Vasc Access, 2020, 21: 272-280.[J].J Vasc Access, 2020, 12(3):272-280
[8] Ash S, Sequeira A, Narayan R.Imaging and Peritoneal Dialysis Catheters[J]. Semin Dial, 2017, 30(4):338-346
[9] Latich I, Luciano RL, Mian A.Image-Guided Approach to Peritoneal Dialysis Catheter Placement. [J].Tech Vasc Interv Radiol, 2017, 20(1):75-81
[10] Amerling R, Cruz C.A new laparoscopic method for implantation of peritoneal catheters.[J].ASAIO J, 1993, 39(3):M787-M789
[11]Chen Y, Shao Y, Xu J.The Survival and Complication Rates of Laparoscopic Versus Open Catheter Placement in Peritoneal Dialysis Patients: A Meta-Analysis.[J].Surg Laparosc Endosc Percutan Tech, 2015, 25(5):440-443
[12] Qiao Q, Zhou L, Hu K, Xu D, et al.Laparoscopic versus traditional peritoneal dialysis catheter insertion: a meta analysis. [J].Ren Fail, 2016, 38(5):838-848
[13] Crabtree JH, Fishman A.A laparoscopic method for optimal peritoneal dialysis access. [J].Am Surg, 2005, 71(2):135-143
[14]Crabtree JH.Selected best demonstrated practices in peritoneal dialysis access [J].[J].Kidney Int Suppl, 2006, (103):S27-S37
[15]Shrestha BM, Shrestha D, Kumar A, et al.Advanced Laparoscopic Peritoneal Dialysis Catheter Insertion: Systematic Review and Meta-Analysis.[J].Perit Dial Int, 2018, 38(3):163-171
[16] Htay H, Johnson DW, Craig JC, et al.Urgent-start peritoneal dialysis versus conventional-start peritoneal dialysis for people with chronic kidney disease. [J].Cochrane Database Syst Rev, 2020, 12(2):CD012913-
