超声引导联合腔内心电定位在老年肿瘤病人胸壁输液港植入术中的应用价值  

Application of ultrasound guidance combined with intracardiac electrocardiogram in the implantment of totally implantable access port in elderly patients with tumor

作　　者：许菊青 方乐平 沈龙芳 杨舒 王琳 樊卫飞 XU Ju-qing;FANG Le-ping;SHEN Long-fang;YANG Shu;WANG Lin;FAN Wei-fei(Department of Hematology and Oncology(Department of Geriatric Lung Cancer Laboratory),Jiangsu Province Geriatric Hospital,Nanjing 210024,China)

机构地区：[1]江苏省老年病医院血液肿瘤科(江苏省老年肺癌研究室),江苏省南京市210024

出　　处：《实用老年医学》2022年第11期1133-1136,共4页Practical Geriatrics

摘　　要：目的探讨超声引导联合腔内心电定位技术在老年病人完全植入式输液港(TIAP)植入术中的应用价值。方法回顾性分析2018年1月至2021年12月在江苏省老年病医院接受TIAP植入的204例老年肿瘤病人的临床资料。根据植入方式不同,将病人分为超声引导联合腔内心电定位组(A组,n=133)和常规体表定位穿刺联合X线定位组(B组,n=71),比较2组手术成功率、术后并发症及计划外取港情况。结果2组置管成功率分别为99.2%和91.5%,A组术后近期及远期并发症发生率分别为6.77%(9例)和3.01%(4例),B组术后近期及远期并发症发生率分别为33.8%(24例)和23.94%(17例),2组置管成功率和并发症发生率差异均有统计学意义(均P<0.05);A、B组计划外取港率分别为2.26%(3例)和11.27%(8例),差异有统计学意义(P<0.05)。结论超声引导联合腔内心电定位技术有利于提高输液港置管成功率、降低并发症发生率,延长使用寿命,在老年肿瘤病人中值得推广。Objective To evaluate the clinical value of ultrasound guidance combined with intracardiac electrocardiogram in the implantment of totally implantable access port(TIAP)in the elderly patients.Methods The clinical data of 204 elderly patients with tumor who received TIAP at our department from January 2018 to December 2021 was retrospectively analyzed.The patients were divided into ultrasound combined with intracardiac electrocardiogram group(group A,n=133)and blind puncture combined with X-ray-based location group(group B,n=71).The successful rate,postoperative complications and unplanned removal rate of TIAP were compared between the two groups.Results The successful rate in group A was 99.2%,compared with 91.5%in group B.Both the incidence rates of short-term and long-term complications in group A were lower than those in group B(P<0.05).The unplanned removal rate of TIAP in group A was also lower than that in group B(P<0.05).Conclusions Ultrasound and intracardiac electrocardiogram is a safe and effective technique,which is an important option for clinical implantation of TIAP in the elderly.

关 键 词：输液港 超声 腔内心电定位 

分 类 号：R445[医药卫生—影像医学与核医学]