Abstract:Objective: To compare the safety and effectiveness of ultrasound-guided percutaneous peritoneal dialysis catheterization with multifunctional bladder fistulation paracentesis trocar and open abdominal catheterization. Methods: A total of 242 patients who were diagnosed with end-stage renal disease (ESRD) and who voluntarily chose the peritoneal dialysis in the peritonea dialysis center of Yongchuan Hospital of Chongqing Medical University from June 2016 to July 2018 were selected as study objects. Among them, 93 patients were treated with ultrasound-guided percutaneous peritoneal dialysis catheterization with multifunctional bladder fistulation paracentesis trocar (group A), and 149 patients were treated with traditional open abdominal catheterization (group B). After surgery, all patients were followed up for one year; the success rate of clinical catheterization, incidence of early-and-late complications and one-year technical survival rate of catheter in two groups were retrospectively analyzed. SPSS 17.0 statistical software was used for data analysis. Results: Gender, age and history of abdominal operation in two groups had no significant differences (P>0.05). Incision length and operation time in the group A were all shorter than those in the group B (P<0.05). Incidence of early peritonitis and incidence of advanced catheter-end and tunnel infection in the group A were lower than those in the group B (P<0.05). Success rate of clinical catheterization and one-year technical survival rate of catheter in the group A were higher than those in the group B (P<0.05). Intraoperative complications, catheter displacement, perivascular leakage, abdominal hernia and abdominal tube occlusion in two groups had no significant differences (P>0.05). Conclusion: Ultrasound-guided percutaneous peritoneal dialysis catheterization with multifunctional bladder fistulation paracentesis trocar is safer and more effective, and can be used as an alternative to traditional open abdominal catheterization.
