[1]张旭刚,于海蛟,刘永波,等.完全植入式静脉输液港3种植入途径临床对比[J].介入放射学杂志,2021,30(11):1119-1122.
 ZHANG Xugang,YU Haijiao,LIU Yongbo,et al.Three different implantation approaches of totally implantable venous access port: a clinical comparison study[J].journal interventional radiology,2021,30(11):1119-1122.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年11
页码:
1119-1122
栏目:
血管介入
出版日期:
2021-11-25

文章信息/Info

Title:
Three different implantation approaches of totally implantable venous access port: a clinical comparison study
作者:
张旭刚 于海蛟 刘永波 李维青 李宝重 姜福胜
Author(s):
ZHANG Xugang YU Haijiao LIU Yongbo LI Weiqing LI Baozhong JIANG Fusheng
Department of Thoracic Surgery, Affiliated Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
关键词:
【关键词】 完全植入式静脉输液港 颈内静脉 锁骨下静脉 头静脉
文献标志码:
A
摘要:
【摘要】 目的 评价完全植入式静脉输液港(TIVAP)3种植入途径的临床效果。 方法 回顾性分析2018年1月至2019年12月在北京世纪坛医院接受TIVAP植入术患者320例。根据植入方式不同分为经颈内静脉穿刺组(A组,n=205)、经锁骨下静脉穿刺组(B组,n=60)、经头静脉切开植入组(C组,n=55)。比较3组患者一般资料、早期并发症、晚期并发症及患者满意度情况。 结果 3组患者均未出现血胸、空气栓塞等严重并发症。A组置管长度(33.8±5.1) cm,为3组中最长(P<0.05);B组患者气胸(6.7%)、损伤动脉(5.0%)、局部血肿(8.3%)发生率均为3组中最高(P<0.05);C组手术时间为(39.8±10.6) min,高于其他两组(P<0.05)。A、B、C组置管失败率分别为0、3.3%、3.6%(P<0.05)。3组患者伤口感染、堵管、血栓形成发生率差异无统计学意义(P>0.05)。A、B组导管成角折叠或卡压、体位性堵管发生率明显高于C组(P<0.05)。术后随访3~6个月,3组患者疼痛视觉模拟评分(VAS)、影响穿衣、影响睡眠、上肢活动不适感及总体满意度差异均无统计学意义(P>0.05)。 结论 3种TIVAP植入方法均安全有效。穿刺植入途径普及率高,简单易学,结合超声导引成功率高;头静脉切开植入途径严重并发症发生率最低,但置管失败率较穿刺途径高。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2020- 07- 24)
(本文编辑:边 佶)
更新日期/Last Update: 2021-11-22