经头静脉切开输液港置入术32例临床分析  

Experience study of 32 cases of implantable venous-access ports via cephalic vein venotomy

作　　者：董鸿 KUSH 李宁 邱衍欢 李兴睿[1] 易继林[1] 沈文状 DONG Hong;KUSH;LI Ning(Department of Thyroid And Breast Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院甲状腺乳腺外科,武汉430030

出　　处：《临床外科杂志》2023年第5期436-439,共4页Journal of Clinical Surgery

摘　　要：目的介绍头静脉切开静脉输液港置入术,并与传统手术方法进行比较。方法2019年10月~2020年12月接受经头静脉切开置入输液港手术的病人32例,同期同手术组行颈内静脉置入输液港47例,比较两组手术时间、并发症等。结果28例经头静脉切开置入平均用时(25.93±4.77)分钟,同期颈内静脉穿刺平均手术时间(28.73±5.16)分钟,两组比较,差异无统计学意义(P>0.05);头静脉切开组无血栓形成,颈内静脉穿刺组发生血栓13例,差异有统计学意义(P<0.05);置管相关不良事件,头静脉切开组1例、颈内静脉穿刺组3例,两组相关治疗时间增加分别为0和(16.7±2.1)天,治疗费用增加分别为0和(1233±166.7)元,两组比较差异有统计学意义(P<0.05)。结论经头静脉切开方式置入输液港不增加手术时间,手术并发症少。Objective To introduce a new method of totally implantable venous access ports(TIVAP)via cephalic vein venotomy.(CVV-Port).Methods The clinical and follow-up data of 32 patients who received TIVAP from October 2019 to December 2020 were summarized and analyzed.During the same period,the 47 patients who underwent CVV-Port were compared and analyzed in terms of operation time and complications.Results 28 patients received TIVAP successfully,the average operation time was(25.93±4.77)min,while the CCV-port group was(28.73±5.16)min,with no statistical difference(p<0.05).There was no thrombosis in the TIVAP group,and thrombosis in the CCV-port group in 13 cases,the difference was significant(p<0.05).Catheterization related adverse events were 1 case in TIVAP group and 3 cases in CCV-port group.There were statistically significant differences in the increase of treatment time and treatment cost between the two groups[0 vs.(16.7±2.1)d;0 vs.(1233±166.7)yuan,both p<0.05].Conclusion TIVAP via cephalic vein section does not increase the operation time and has fewer complications.

关 键 词：静脉输液港 头静脉切开 新方法 临床实践 

分 类 号：R472[医药卫生—护理学]