经B超引导腹腔穿刺置管及接管方式对循环热灌注流速及腹水控制率的临床观察  

Effect of B-ultrasound-guided intraperitoneal catheterization and tube connection on the flow rate and efficacy of circulatory heat perfusion

作　　者：李寅 梁波 于春凤 Yin Li;Bo Liang;Chunfeng Yu(Department of Medical Oncology,Yantai Hospital of Traditional Chinese Medicine,Yantai 264000,China;Special Inspection Section,Yantai Hospital of Traditional Chinese Medicine,Yantai 264000,China)

机构地区：[1]山东省烟台市中医医院肿瘤内科,山东省烟台市264000 [2]山东省烟台市中医医院特检科,山东省烟台市264000

出　　处：《中国肿瘤临床》2021年第20期1052-1055,共4页Chinese Journal of Clinical Oncology

摘　　要：目的:分析采用彩色超声(B超)引导的腹腔置管及接管方式对腹腔循环热灌注流速及腹水控制率的影响。方法:选取2017年2月至2019年12月就诊烟台市中医医院行腹腔循环热灌注化疗的36例患者,按不同的置管及接管方式分为试验组和对照组,分析比较两组的循环热灌注流速及腹水控制率。结果:36例患者中试验组18例,对照组18例。试验组采用B超引导的腹腔置管及接管方式,第1次和第3次循环热灌注高灌注流速时间及有效流速时长均优于对照组。试验组患者腹水完全控制率明显优于对照组(66.67%vs.44.44%,P<0.05)。结论:采用B超引导的腹腔置管及接管方式增加了循环热灌注流速及其稳定性,提高了腹水的完全控制率,扩大了循环热灌注化疗的临床应用范围。Objective:To analyze the effect of peritoneal catheterization and takeover guided by color ultrasound(B-ultrasound)on the flow rate of chemotherapeutic hyperthermic intraperitoneal perfusion and control rate of ascites.Methods:From February 2017 to December 2019,36 patients receiving chemotherapeutic hyperthermic intraperitoneal perfusion at Yantai Hospital of Traditional Chinese Medicine were included and assigned into the experimental and control groups according to the different methods of catheterization and takeover.Differences in the flow rate of hyperthermic in traperitoneal perfusion and control rate of ascites between the two groups were compared.Results:Among 36 patients,the experimental and control groups included 18 patients each.Patients in the experimental group underwent B-ultrasound-guided intraperitoneal catheterization and tube connection.The duration of high perfusion flow rate and effective flow rate after the first and third cycles of thermal perfusion were longer in the experimental group than in the control group.Additionally,the complete control rate of ascites was significantly higher in the experimental group than in the control group(66.67%vs.44.44%,P<0.05).Conclusions:Through the use of B-ultrasound-guided intraperitoneal catheterization and connection,the flow rate and stability of circulatory hyperthermic perfusion and complete control rate of ascites were improved,thereby expanding the clinical application of chemotherapeutic hyperthermic intraperitoneal perfusion.

关 键 词：腹腔循环热灌注 置管及接管方式 彩色超声 腹腔恶性肿瘤 恶性腹腔积液 

分 类 号：R730.5[医药卫生—肿瘤]