植入式静脉港导管断裂原因分析及预防措施  

Risk Factors Related to the Fracture of the Implantable Vascular Access Devices

作　　者：李丽[1] 艾宁[1] 杨光[1] 殷风华[1] 李亚男[1] 苌英利[1] 谷铁树[1] 王宁[1] 李智岗[1] 耿翠芝[1] LI Li;AI Ning;YANG Guang(Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,P.R.China)

机构地区：[1]河北医科大学第四医院介入放射科

出　　处：《临床放射学杂志》2018年第6期1030-1033,共4页Journal of Clinical Radiology

摘　　要：目的探讨经颈内静脉途径植入静脉港导管发生断裂的原因及高危因素,指导临床合理安全使用静脉港。方法通过随访和应用医院PACS网络回顾性分析2013年11月至2016年3月河北医科大学第四医院3102例乳腺癌静脉港植入患者,归纳其临床资料及影像学表现,针对患者年龄、职业、生活习惯、置入静脉港时间、部位、导管头端位置、血管腔内外导管夹角等观察指标,对静脉港导管断裂相关因素进行统计学分析。结果 3102例患者共发生静脉港导管断裂15例（0.48%）,12例患者断裂部位位于颈内静脉入口处,2例患者发生于静脉港出口处,1例位于导管头端位置。导管断裂与置入静脉港时间、职业、年龄及生活习惯等因素密切相关,而与置入静脉港位置、导管头端位置、血管内外导管夹角等因素无关。结论经颈内静脉穿刺静脉港植入是一种安全、有效、且并发症较少的方法,明确静脉港导管断裂相关因素并早期预防可提高其安全性。Objective To investigate the risk factors of the fracture of the implantable vascular access devices which can give us instructions to utility vascular access devices safely. Methods 3102 cases of patients with vascular access devices were retrospectively analyzed from November 2013 to March 2016 in the 4 th hospital of Hebei Medical University.We summarized the clinical and radiographic data（ age,occupation,living habit,port time,port location,the location of the catheter head and the angle between the inner and outer catheter） to analyze the related factors of fracture in 3102 patients.Results 15 cases were detected fracture in all patients,and the fracture site were located at the entrance of the internal jugular vein（ n = 12）,the outlet of the vascular access devices（ n = 1）,the end of the catheter（ n = 2）. Fracture was closely related to the factors of port time,age and occupation,but not related to the location of the port,the position of the head of the catheter and the angle of the inner and outer catheter. Conclusion Implantable vascular access devices were approved by its advantages of safety,effectiveness and less invasion. It is important to clarify the related factors and early prevention of fracture.

关 键 词：植入式静脉港 导管断裂 颈内静脉 乳腺癌 

分 类 号：R473.73[医药卫生—护理学]