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相關文獻
- Video-Assisted Thoracoscopic Surgery for Peritoneal Dialysis-related Hydrothorax
- Peritoneal Scintigraphy for the Assessment of Dialysate Leakage in Patients on Continuous Ambulatory Peritoneal Dialysis
- 腹膜透析病患併發水胸之回溯分析
- Video-assisted Thoracoscopic Surgery with Direct Suture and Pleurodesis for Diaphragmatic Defect in Patients on Continuous Ambulatory Peritoneal Dialysis--A Case Report
- Diagnosis of Peritoneopleural Communication with [fee6]Tc-MAA Scintigraphy in a Patient with Continuous Ambulatory Peritoneal Dialysis: A Case Report and Literature Review
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- Hydrothorax in Peritoneal Dialysis: Case Report and Literature Review
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題 名 | Video-Assisted Thoracoscopic Surgery for Peritoneal Dialysis-related Hydrothorax=與腹膜透析相關之水胸之外科治療 |
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作 者 | 劉榮森; 蔡欣恬; 陳勁宇; 洪榮志; 顏銘宏; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 41:2 2008.03-04[民97.03-04] |
頁 次 | 頁41-46 |
分類號 | 416.22 |
關鍵詞 | 腹膜透析; 水胸; 腹腔鏡手術; Hydrothorax; Peritoneal dialysis; Video-assisted thoracoscopic surgery; |
語 文 | 英文(English) |
中文摘要 | 與腹膜透析相關之水胸是一種罕見的併發症,如果無法有效處理將造成病人被迫放棄腹膜透析治療。最近16年我們共計施行約400例之腹膜透析管植入術讓病人進行腹膜透析治療。其中有2例併發水胸。另外從外院轉來2例。 4例全爲女性,以咳嗽、喘息、腹膜透析液引流不足爲臨床表徵。Tc99之檢查在1例証實有腹腔與胸腔之流通。4例皆接受胸腔鏡手術,其中1例因雙管式氣管內管插管失敗不得不改爲迷你開胸術。從腹膜透析管灌水或空氣皆可精確找出橫膈上之破損處,直接加以縫補。所有病人皆在2~8週內回復腹膜透析,觀察1~5年無再發現象。腹膜透析相關之水胸雖有『暫停腹膜透析』、『肋膜沾黏術』等其他治療法,但以本研究而言,胸腔鏡手術或迷你開胸術『直接縫合』橫膈上之破損處最爲有效。 |
英文摘要 | Objective: Peritoneal dialysis (PD)-related hydrothorax is a rare complication, which if not treated properly, will cause the patient to abandon PD. Methods: We started continuous ambulatory peritoneal dialysis (CAPD) treatment modality in 1991, and there have since been 400 consecutive patients receiving CAPD treatment (up to September 2007). Among them only 2 patients suffered from PD-related hydrothorax. In addition, the 2 patients who suffered from PD-related hydrothorax were referred from the other hospitals. Results: All the 4 patients were females, the mean age being 46 years old, and they presented with cough, dyspnea and inadequate outflow. Chest radiographs all showed massive effusion of the right thorax. The Tc99 shunt patency study was helpful in one case. All the 4 patients underwent VATS and one needed a limited thoracotomy due to failure of double lumen intubation. During the operation, all of them showed defects in the tendinous portion of the right side diaphragm which could be identified clearly after checking leakage. The defects were sutured continuously with 2-0 coated Vicryl. They resumed CAPD treatment 2~8 weeks after repair of the diaphragmatic defects. Conclusion: PD-related hydrothorax can be treated safely and successfully by VATS or limited thoracotomy. |
本系統中英文摘要資訊取自各篇刊載內容。