Comparison of the therapeutic effects of pull technique and conventional technique in peritoneal dialysis extubation
10.3969/j.issn.1673-9701.2025.21.004
- VernacularTitle:腹膜透析拔管中pull技术与常规技术疗效比较
- Author:
Meiyang ZHOU
1
;
Canxin ZHOU
1
;
Cuiping PAN
1
Author Information
1. 宁波大学附属人民医院肾内科,浙江宁波 315040
- Publication Type:Journal Article
- Keywords:
Peritoneal dialysis;
Pull technique extubation;
Postoperative pain;
Complication;
Infection
- From:
China Modern Doctor
2025;63(21):14-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of the pull technique with routine extubation for peritoneal dialysis(PD)catheter removal.Methods A retrospective analysis was conducted on 81 PD patients who were admitted to the Affiliated People's Hospital of Ningbo University from January 2017 to August 2024 and were scheduled to undergo PD catheter removal.They were divided into conventional extubation group(n=43)and pull technique extubation group(n=38)based on the method of catheter removal.The conventional extubation group adopts open surgical extubation,while the pull technique extubation group adopts pull technique extubation.Comparative analysis of perioperative indicators and postoperative complications between two groups of patients.Results The surgical time,intraoperative blood loss,and hospital stay of patients in pull technique extubation group were significantly better than those in conventional extubation group(P＜0.001).The score of the immediate postoperative and 24-hour postoperative numerical rating scale were significantly lower than those of conventional extubation group(P＜0.001).There was no statistically significant difference in the surgical site infection rate and the total incidence of postoperative complications at 6 months between two groups of patients(P＞0.05).Conclusion As a minimally invasive approach,the pull technique offers advantages including reduced tissue trauma,faster recovery,and lower medical costs,making it a preferred option for PD catheter removal.
