[1]丁伟,周奇,孙飞虎,等.完全植入式静脉输液港术后港体翻转临床分析 [J].介入放射学杂志,2020,29(03):291-295.
　DING Wei,ZHOU Qi,SUN Feihu,et al.Inversion of injection pedestal after the placement of totally implantable venous access port: clinical analysis[J].journal interventional radiology,2020,29(03):291-295.
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完全植入式静脉输液港术后港体翻转临床分析

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

卷:
29
期数:
2020年03
页码:
291-295
栏目:
临床研究
出版日期:
2020-04-20

文章信息/Info

Title:
Inversion of injection pedestal after the placement of totally implantable venous access port: clinical analysis
作者:
丁伟; 周奇; 孙飞虎; 孙磊; 王维涛; 徐平; 范晨; 陆进; 王卫东
Author(s):
DING Wei;  ZHOU Qi;  SUN Feihu;  SUN Lei;  WANG Weitao;  XU Ping;  FAN Chen;  LU Jin;  WANG Weidong.
Department of Interventional Radiology, Wuxi People’s Hospital, Wuxi, Jiangsu Province 214023, China
关键词:
【关键词】　完全植入式静脉输液港; 港体翻转; 发生原因; 诊断; 治疗; 预防
文献标志码:
A
摘要:
【摘要】　目的?探讨完全植入式静脉输液港（TIVAP）术后港体翻转的发生原因、确诊方法、处理措施及预防策略。方法?回顾性分析2015年12月至2018年10月428例接受TIVAP植入术患者临床资料。记录术后港体翻转率、发生时间、原因分析和处理措施。结果?428例患者术中港体均未缝合固定，术后6例发生港体翻转，均经影像学检查证实，港体翻转率为1.4%（6/428）。其中男2例，女4例；年龄55～71岁，平均（65.0±6.3）岁。术后23～451 d出现港体翻转，2例考虑与皮下组织过剩/疏松相关，1例考虑为囊袋尺寸过大，其余3例原因不明。处理措施：单纯手法复位3例，囊袋内注射0.9%氯化钠溶液后手法复位1例，囊袋内注射0.9%氯化钠溶液手法复位失败后切开复位1例，直接切开复位1例。 结论?TIVAP植入术后港体翻转发生率低，易于确诊和复位，因此没有必要常规缝合固定港体。建议选择宽基底、凸缘设计港体。港体翻转原因尚需进一步研究探讨。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：2019-03-05）
（本文编辑：边?佶）
更新日期/Last Update: 2020-04-16