B超引导改良塞丁格PICC置管技术应用于乳腺癌患者化疗的体会  

The Application of B-ultrasound Guided Improved Seldinger Technique in Chemotherapy Treatment of Breast Cancer Patients

作　　者：季云[1] 赵婷玲[1] 孙庆梅[1] 严凌花[1] 孙丽娟[1] 

机构地区：[1]江苏大学附属医院肿瘤治疗中心化疗科,江苏镇江212001

出　　处：《肿瘤药学》2016年第4期318-320,共3页Anti-Tumor Pharmacy

摘　　要：目的 探讨B超引导下改良塞丁格技术行PICC置管应用于乳腺癌化疗患者的临床效果。方法 收集我科2013年11月-2015年5月需长期静脉输液化疗且外周血管条件差的98例乳腺癌患者的临床资料,经B超引导下改良塞丁格技术置入巴德单腔三向瓣膜式PICC导管。结果 置管成功率100%,其中1针成功92例,2-3针成功6例,有8例轻微并发症发生。结论 采用B超引导下改良塞丁格技术进行PICC置管操作方便,穿刺成功率高,减少了机械性静脉炎的发生,为乳腺癌患者术后化疗用药提供了一条安全方便的输液途径。Objective To explore the effects and safety of B-ultrasound guided improved Seldinger technique in the chemo- therapy treatment of breast cancer patients in preventing phlebitis and local tissue necrosis induced by drugs exosmosis. Methods We collected 98 cases of breast cancer patients who required long-term intravenous infusion and chemotherapy. All of them had poor peripheral vascular condition, so they were given the Bard PICC implanted by the B-ultrasound guided improved Seldinger technique. Results The successful rate of puncture was 100%. 92 cases were punctured successfully in one time. Six cases were punctured successfully in 2 or 3 times. And 8 cases had minor complications. Conclusion B-ultrasound guided improved Seldinger technique was easy to operate. It also provided high successful rate of puncture and low risk of mechanical phlebitis. Thus it is a safe and convenient infusion approach for the breast cancer patients with postoperative chemotherapy.

关 键 词：超声引导 改良塞丁格技术 乳腺癌 化疗 

分 类 号：R737.9[医药卫生—肿瘤] R473.73[医药卫生—临床医学]