体位改变时经颈内静脉植入胸壁式输液港导管头端位置变化及影响因素  

Movement of catheter tip of chest wall access port implanted via internal jugular vein and impact factors when changing body posture

作　　者：俞靖凡 金泳海[1] 樊宝瑞[1] 杜鹏[1] 李明明[1] 张申 倪才方[1] YU Jingfan;JIN Yonghai;FAN Baorui;DU Peng;LI Mingming;ZHANG Shen;NI Caifang(Department of Vascular and Interventional Radiology,the First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院介入血管科,江苏苏州215006

出　　处：《中国介入影像与治疗学》2020年第7期411-414,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察由卧位至立位经颈内静脉植入胸壁式输液港导管头端位置变化,并分析其影响因素。方法回顾性分析171例接受颈内静脉植入胸壁港患者,均于术后拍摄卧位和立位X线胸片,测量由卧位至立位时导管头端移动距离,采用Pearson相关分析及多元回归分析观察导管头端移动距离的影响因素。结果由卧位至立位时导管头端呈向头侧移位倾向,平均移动距离(15.82±16.87)mm。导管头端移动距离与性别(P=0.039)及皮脂厚度(P=0.011)呈正相关,与留置导管长度(P=0.039)呈负相关。结论由卧位至立位时,经颈内静脉植入胸壁式输液港导管头端倾向于向头侧移位,移动距离与患者性别、皮脂厚度及留置导管长度相关。Objective To observe movement of catheter tip of chest wall access port implanted via the internal jugular vein and impact factors when changing from supine to vertical positions.Methods Data of 171 patients underwent implantation of chest wall access port via the internal jugular vein and chest X-ray films on supine and vertical position postoperatively were retrospectively analyzed,and the distance from the tracheal protuberance to catheter tip was measured.Pearson correlation analysis and multivariate regression analysis were performed to observe the impact factors of moving distance of catheter tip.Results Changing from supine to vertical position,the catheter tip was inclined to cephalad movement,and the mean moving distance was(15.82±16.87)mm.The distance of catheter tip movement was positively correlated with gender(P=0.039)and sebum thickness(P=0.011)and negatively correlated with indwelling length of catheter(P=0.039).Conclusion The catheter tip of chest wall access port implanted via the internal jugular vein tends to shift cephalad when changing from supine to vertical position,and the distance of movement is related to patient’s gender,sebaceous thickness and the length of indwelling catheter.

关 键 词：植入式静脉输液港 血管造影术 数字减影 体位 

分 类 号：R472[医药卫生—护理学] R814.4[医药卫生—临床医学]