[1]郝伟远,陈玉堂,林 婧,等.DSA引导下改良股静脉植入输液港术式在恶性肿瘤患者中的应用[J].介入放射学杂志,2021,30(08):780-783.
 HAO Weiyuan,CHEN Yutang,LIN Jing,et al.Application of DSA-guided modified implantation technique of infusion port via femoral vein in treating patients with malignant tumors[J].journal interventional radiology,2021,30(08):780-783.
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DSA引导下改良股静脉植入输液港术式在恶性肿瘤患者中的应用()

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

卷:
30
期数:
2021年08
页码:
780-783
栏目:
肿瘤介入
出版日期:
2021-08-25

文章信息/Info

Title:
Application of DSA-guided modified implantation technique of infusion port via femoral vein in treating patients with malignant tumors
作者:
郝伟远 陈玉堂 林 婧 郑家平 邵国良
Author(s):
HAO Weiyuan CHEN Yutang LIN Jing ZHENG Jiaping SHAO Guoliang.
Institute of Cancer and Basic Medicine, Chinese Academy of Sciences; Affiliated Cancer Hospital of the University of Chinese Academy of Sciences; Department of Interventional Therapy of Zhejiang Provincial Cancer Hospital, Hangzhou, Zhejiang Province 310022, China
关键词:
【关键词】 股静脉 输液港 恶性肿瘤
文献标志码:
A
摘要:
【摘要】 目的 探讨DSA引导下经股静脉植入输液港改良术式在恶性肿瘤患者中的应用的安全性、技术可行性及相关并发症。 方法 选择2014年2月至2020年1月26例接受DSA引导下改良股静脉植入输液港术式的恶性肿瘤患者,采用Seldinger技术穿刺右侧股静脉,于右下腹壁植入静脉输液港。所有患者进行随访,随访终点为输液港移除或患者死亡。 结果 26例患者植入均获成功,术中无并发症发生,平均手术时间(22.1±6.9) min。10例术中出现导管异位至对侧髂静脉或腰静脉,在DSA下调整后均成功进入下腔静脉主干,导管头端位于下腔静脉位置:10例位于腰2椎体水平,11例位于腰3椎体水平,5例位于腰4椎体水平。随访780个导管日,共发生4例并发症,其中1例为纤维蛋白鞘形成,1例为囊袋感染破溃,1例为导管卷曲异位至皮下,1例为导管于腹股沟处打折致输液不畅,其中3例致非计划拔管。26例患者均未发生深静脉血栓形成、相关肢体运动受限及不适感等并发症。无相关死亡事件发生。 结论 对于无法植入胸壁输液港的患者,在DSA引导下行改良经股静脉植入输液港术式是安全可行的,并发症发生率低。

参考文献/References:

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[9] 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, 29:291-295.

相似文献/References:

[1]姜广伟,唐雷,吕柏楠.股总动脉医源性损伤1例 [J].介入放射学杂志,2020,29(02):179.
 JIANG Guangwei,TANG Lei,LÜ,et al.Iatrogenic injury of common femoral artery caused by femoral vein puncture: report of one case[J].journal interventional radiology,2020,29(08):179.

备注/Memo

备注/Memo:
(收稿日期:2020-09-02)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-08-18