Peritoneal Dialysis Catheter Clinical Research

Objective:Be improved the traditional peritoneal dialysis catheter by means of the application of developed abdominal cavity trocar in order to reduce the complications such as drift tube, assure, blocked tubes, intra-abdominal, abdominal cavity weeping and other infection.Methods:Divided peritoneal dialysis patients into two groups in the past we had received and cured. The first group of selected cases is the 257 patients of acute and chronic renal failure who needed peritoneal dialysis treat from 2004 to 2009 in our hospital nephrology department. This group will take the trocar to pierce the after, the rectus sheath and peritoneum into abdominal cavity then put double card volt Abdominal perspective into bladder or Douglas cavity. The second group of selected cases is the 87 patients who needed peritoneal dialysis treat use traditional surgical method.Results:Compare trocar aspiration biopsy with traditional planting tube surgery method shorten the 3/4 of duration of surgery, reducing bleeding, peritoneal tear, suturing difficulties, such as surgical incision big trouble. The two groups occurred within two weeks of surgical drift tube, blockage compared the rate of P <0.05, statistically significant differences. That surgery group than the traditional group improved significantly reduce the drift tube, the surgical method is feasible。The two groups occurred within two weeks of surgical dialysate leakage, but without any statistical difference, proved to abdominal trocar surgery did not increase the risk of peritoneal dialysis fluid leakage。 Conclusion:We have taken on chronic peritoneal dialysis peritoneal implantation of dual-card trocar management of national patents.This operative technique is safe, simple, convenient, fast, implant in place is a try of chronic peritoneal dialysis trocar implanted and it is also a significant improvement. The therapeutics of CAPD is recommended to develop, strengthen and educate for curing more uremia.