[1]杨柏帅,王俊奕,陈天佑,等.静脉造影在完全植入式静脉输液港植入术中导引和并发症诊断、预测中的作用[J].介入放射学杂志,2022,31(04):374-379.
　YANG Boshuai,WANG Junyi,CHEN Tianyou,et al.The role of venography in making intraoperative guidance and in diagnosing and predicting the postoperative complications in patients receiving implantation of totally implantable venous access port[J].journal interventional radiology,2022,31(04):374-379.
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静脉造影在完全植入式静脉输液港植入术中导引和并发症诊断、预测中的作用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年04
页码:
374-379
栏目:
临床研究
出版日期:
2022-06-15

文章信息/Info

Title:
The role of venography in making intraoperative guidance and in diagnosing and predicting the postoperative complications in patients receiving implantation of totally implantable venous access port
作者:
杨柏帅;  王俊奕;  陈天佑;  侯毅斌;  周 粟;  李清涛;  袁 敏
Author(s):
YANG Boshuai;  WANG Junyi;  CHEN Tianyou;  HOU Yibin;  ZHOU Su;  LI Qingtao;  YUAN Min.
Department of Interventional Radiology， Affiliated Shanghai Public Health Clinical Center of Fudan University， Shanghai 201508， China
关键词:
【关键词】 完全植入式静脉输液港;  腋静脉;  静脉造影
文献标志码:
A
摘要:
【摘要】 目的 探讨静脉造影在经腋静脉完全植入式静脉输液港（TIVAP）植入术中导引和术后并发症诊断、预测中的作用。方法 收集2018年1月至2020年12月在上海市公共卫生临床中心就诊并经腋静脉近侧段植入TIVAP的342例患者临床资料。分析静脉造影导引穿刺成功率、置港成功率、术后并发症、静脉造影在并发症诊断和预测中的作用。 结果 静脉造影导引下腋静脉穿刺成功率97.4%（76/78），所有患者TIVAP植入均获成功。误穿动脉3例，气胸1例。术前应用静脉造影预测夹闭综合征2例。术后应用静脉造影诊断导管阻塞3例，纤维蛋白鞘2例。随访确诊5例症状性静脉血栓，36例无症状性静脉血栓，发生率12%（41/342）。单因素分析显示，年龄、左心室射血分数（LVEF）、血栓弹力图（TEG）、腋静脉显影延迟、同侧经外周穿刺中心静脉导管（PICC）植入史与静脉血栓发生相关；多因素回归分析显示，年龄、LVEF、腋静脉显影延迟、同侧PICC植入史是静脉血栓独立预测因素。结论 静脉造影导引下经腋静脉近侧段植入TIVAP安全可行，静脉造影在并发症诊断和预测中起重要作用。

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更新日期/Last Update: 2022-05-11