完全植入式静脉输液港在婴幼儿恶性肿瘤患者中的临床应用  

Clinical application of totally implantable venous access port in infants with malignant tumors

作　　者：陈迪祥[1] 袁妙贤[1] 肖元宏[1] 王政[1] 苏刚[1] 彭少林[1] 刘洲禄[1] 刘贵麟[1] 

机构地区：[1]解放军总医院小儿外科,北京100853

出　　处：《军医进修学院学报》2012年第10期1022-1023,1047,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的探讨植入式静脉输液港的手术方法、植入深度和并发症。方法按Seldinger法穿刺右侧锁骨下静脉或左侧锁骨下静脉,在皮下埋入植入式静脉输液港。分析置管深度与年龄、身高及体重的相关性,并作出回归方程。结果 20例穿刺右侧锁骨下静脉,其中1例切开置管;2例穿刺左侧锁骨下静脉。1例渗液,予拔除输液港。1例出现血栓,用尿激酶溶栓后能继续使用。导管置入深度(穿刺点至导管尖的距离)与患者年龄、身高及体重呈正相关,相关系数分别为0.765 0、0.937 6、0.740 2。深度与身高的直线回归方程为:长度=0.766 3+0.095×身高。结论据此可术前预测导管置入深度,在没有C形臂透视下也可放入合适位置。Objective To study the operation methods and implant depth of totally implantable venous access port（TIVAP） and its complications.Methods TIVAP was implanted subcutaneously via subclavian vein following the Seldinger puncture method.Correlation of implanted TIVAP depth with the age,body height and weight of patients was analyzed and a regression equation was formulated.Results Of the 22 patients,20 underwent right subclavian vein puncture including 1 who received open surgery for TIVAP implant,and 2 underwent left subclavian vein puncture.Among these 2 patients,TIVAP was removed in 1 due to exudate and remained in 1 after thrombi were dissociated with urokinase.The implant depth of TIVAP was positively related with the age,body height and weight of the patients and their coefficient was 0.765 0,0.937 6 and 0.740 2 respectively.The regression equation for implant depth of TIVAP and body height is expressed as length=0.766 3＋0.095×body height.Conclusion Implant TIVAP depth can be predicted before operation and TIVAP can implanted into an appropriate site when no C-arm chest x-ray is available.

关 键 词：完全植入式静脉输液港 锁骨下静脉穿刺 C形臂透视 置管深度 

分 类 号：R726[医药卫生—儿科]