郑婕 李小生 彭凤 叶菁

    [摘要] 目的 探讨腹腔镜与开腹腹膜透析置管术对机体炎症反应的影响。 方法 选取2018年10月至2019年1月于我院行腹膜透析的60例尿毒症患者，其中30例行腹腔镜下腹膜透析置管手术的设为腹腔镜组，30例行开腹腹膜透析置管手术的设为开腹组。比较两组术中、术后情况和机体炎症反应、并发症发生情况。 结果 腹腔镜组术中出血量、疼痛程度、术后3 d降钙素原(PCT)、C反应蛋白(CRP)、癌抗原125(CA125)、白细胞(WBC)计数和引流不畅、导管移位、腹膜炎发生率低于开腹组，肠道功能恢复时间长于开腹组，手术时间短于开腹组，差异有统计学意义(P0.05)。 结论 尿毒症患者行腹腔镜腹膜透析置管术具有创伤小、失血量少、疼痛轻微、炎症反应轻、并发症少等优点，值得临床推广。

    [关键词] 尿毒症;腹膜透析置管术;腹腔镜;炎症反应;疼痛程度;并发症

    [中图分类号] R735.2? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-9701(2021)11-0017-04

    Clinical study on the effect of laparoscopic and open peritoneal dialysis catheterization on inflammatory response

    ZHENG Jie1? ?LI Xiaosheng1? ?PENG Feng1? ?YE Jing2

    1.The First Affiliated Hospital of Gannan Medical University， Ganzhou? ?341000， China; 2.Jiangxi University of Traditional Chinese Medicine， Nanchang? ?330004， China

    [Abstract] Objective To explore the influence of laparoscopic and open peritoneal dialysis catheterization on inflammation. Methods Sixty uremic patients who underwent peritoneal dialysis in our hospital from October 2018 to January 2019 were selected. 30 cases of laparoscopic peritoneal dialysis catheter were set as the laparoscopic group ......