超声引导下经颈内静脉植入静脉输液泵1856例体会  

Analysis of implantable vascular access devices through the internal jugular vein and guided by ultrasound in 1856 cases

作　　者：邓贺然[1] 顾然[1] 杨雅平[1] 何海艳[1] 陈丽莉[1] 苏逢锡[1] 

机构地区：[1]中山大学孙逸仙纪念医院乳腺肿瘤医学部

出　　处：《岭南现代临床外科》2014年第5期593-596,共4页Lingnan Modern Clinics in Surgery

基　　金：国家自然科学基金(编号:81172524;81372817)

摘　　要：目的探讨超声引导下颈内静脉植入式静脉输液泵植入手术方法。方法回顾性分析中山大学孙逸仙纪念医院乳腺肿瘤医学部从2011年1月至2014年3月期间1856例超声引导下颈内静脉输液港植入手术的资料。结果 1856例患者超声引导下经颈内静脉植入成功率100%。其中经右侧颈内静脉植入1838例(占99.03%),经左侧颈内静脉植入18例(占0.97%)。发生置管术中并发症6例(0.3%);发生术后使用输液港过程中并发症25例(1.3%),无死亡病例。结论植入式输液泵在超声引导下行颈内静脉植入成功率很高,并发症发生率比较低,且多不是严重并发症。Objective To investigate the surgical method of implantable vascular access devices through the internal jugular vein and guided by ultrasound. Methods A retrospective analysis of 1856 cases of implantable vascular access devices were carried out, through the internal jugular vein and guided by ultrasound from the medical department of breast oncology, Sun Yat-sen University Memorial Hospital between 2011 January and 2014 March. Results The success rate of 1856 cases of implantable vascular access devices were 100%, through the internal jugular vein and guided by ultrasound. The right internal jugular vein were implanted in 1838 patients （99.03%）, the left internal jugular vein were implanted in 18 patients （0.97%）. Intraoperative complications were occurred in 5 cases （0.3%）; 25 cases had post-operative complications （1.3%）, no death case happened. Conclusion The method of implantable vascular access devices through the internal jugular vein and guided by ultrasound has a higher success rate, and a lower rate of serious complications.

关 键 词：植入式静脉输液泵 超声引导 静脉穿刺 

分 类 号：R608[医药卫生—外科学]