[1]仇晓霞,金光鑫,郭 艳,等.手臂和呼吸运动对上臂完全植入式输液港导管尖端位置的影响[J].介入放射学杂志,2022,31(12):1155-1159.
 QIU Xiaoxia,JIN Guangxin,GUO Yan,et al.The influence of arm and breathing movements on the catheter tip position of totally implantable access port implanted via upper arm approach[J].journal interventional radiology,2022,31(12):1155-1159.
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手臂和呼吸运动对上臂完全植入式输液港导管尖端位置的影响()

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

卷:
31
期数:
2022年12
页码:
1155-1159
栏目:
血管介入
出版日期:
2023-01-11

文章信息/Info

Title:
The influence of arm and breathing movements on the catheter tip position of totally implantable access port implanted via upper arm approach
作者:
仇晓霞 金光鑫 郭 艳 张学彬
Author(s):
QIU Xiaoxia JIN Guangxin GUO Yan ZHANG Xuebin.
Department of Oncology, Affiliated Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China
关键词:
【关键词】 完全植入式输液港 尖端位置 手臂运动 呼吸
文献标志码:
A
摘要:
【摘要】 目的 探讨手臂和呼吸运动对上臂完全植入式输液港(TIAP)导管尖端位置的影响。方法 DSA下超声导引穿刺上臂静脉植入TIAP。术中、术后分别将患者手臂置于不同位置,深吸气下透视确认导管尖端位置,测量X线胸片上导管尖端至上腔静脉与右心房连接处(CAJ)距离。通过不同手臂运动和呼吸状态下导管尖端位置与固定解剖学标志间长度差判断导管尖端位置是否移动。结果 83例恶性肿瘤患者成功植入上臂TIAP。76例(91.6%)手臂由外展90°转为内收位时导管尖端移位至足侧,移位长度(17.01±10.59) mm;60例(72.3%)由外展90°转为上举位时导管尖端移位至头侧,移位长度(13.47±11.49) mm;83例(100%)由外展位转为最大内收位时导管尖端均移位至足侧,移位长度(40.41±18.73) mm。外展位深吸气状态下74例(89.2%)导管尖端移位至头侧,移位长度(17.08±12.74) mm;内收位深吸气状态下79例(95.2%)导管尖端移位至头侧,移位长度(19.41±11.82) mm。配对t检验表明,手臂由外展90°转为内收位时导管尖端有向足侧移位趋势,外展90°转为上举位时有向头侧移位趋势,深吸气时有向头侧移位倾向,差异有统计学意义(均P<0.01)。导管尖端移位程度与性别、年龄、身高、体质量/体质量指数(BMI)间差异无统计学意义(均P>0.05)。结论 不同手臂运动和呼吸状态下,上臂植入TIAP导管尖端位置是动态可变的。手臂由外展转向内收时,导管尖端易向足侧移位,而深吸气或手臂上举位时,导管尖端易向头侧移位。手臂由外展位转为最大内收位时,导管尖端均向足侧移位。

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相似文献/References:

[1]中心静脉通路上海协作组.完全植入式输液港上海专家共识[J].介入放射学杂志,2015,(12):1029.
 Shanghai Cooperation Group on central venous access.Shanghai expert consensus on fully implantable infusion port[J].journal interventional radiology,2015,(12):1029.
[2]中心静脉通路上海协作组,上海市抗癌协会实体肿瘤聚焦诊疗专委会血管通路专家委员会.完全植入式输液港上海专家共识(2019) [J].介入放射学杂志,2019,28(12):1123.
 Shanghai Cooperation Group on Central Venous Access,Expert Committee on Vascular Access,Committee of Experts on Focused Diagnosis and Treatment of Solid Tumors,et al.Consensus of Shanghai experts on totally implantable access port(2019)[J].journal interventional radiology,2019,28(12):1123.
[3]潘天帆,高 峰,任冬青,等.完全植入式输液港植入术后导管头端异位介入复位6例[J].介入放射学杂志,2023,32(03):251.
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备注/Memo

备注/Memo:
(收稿日期:2021- 12- 07)
(本文编辑:边 佶)
更新日期/Last Update: 2023-01-11