完全植入式静脉输液港外露伤口的手术治疗  

Surgical Treatment of Total Implantable Venous Access Ports Exposed Wounds

作　　者：周林[1] 王瑞[1] 舒茂国[1] 汤志水 ZHOU Lin;WANG Rui;SHU Maoguo;TANG Zhishui(Department of Plastic and Cosmetic Maxillofacial Surgery,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi,China)

机构地区：[1]西安交通大学第一附属医院整形美容颌面外科,陕西西安710061

出　　处：《中国美容医学》2024年第1期1-3,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨完全植入式静脉输液港外露伤口的手术治疗效果。方法:2021年12月-2022年10月,笔者对医院肿瘤术后放置完全植入式静脉输液港外露伤口的患者进行回顾性分析,根据创面的大小、暴露的时间、感染的严重程度,选择清创后直接缝合、囊袋重置或输液港取出的方法进行处理,探讨手术治疗效果。结果:完全植入式静脉输液港外露患者共13例,其中清创后直接缝合6例,囊袋重置5例,输液港取出2例。输液港外露到伤口愈合的时间为7~10 d,平均时间为8.5 d,所有伤口均一期愈合,无并发症发生,瘢痕隐蔽。术后随访6个月,患者总满意率为92.31%。结论:完全植入式静脉港外露伤口手术治疗疗效较好,值得临床推广。Objective To study the effect of treating totally implantable intravenous venous access port(TIVAP)exposed wound with surgical techniques.Methods From December 2021 to October 2022,the author conducted a retrospective analysis of cancer patients with totally implantable intravenous venous access port after surgery in the hospital.According to the size of the wound,the amount of time elapsed since injury and the severity of infection,direct suture,pocket replacement or infusion port removal were selected for treatment after debridement to explore the effect of surgical treatment.Results A total of 13 patients,6 cases were sutured directly after debridement,5 cases were replaced,and 2 ports were removed.The time from TIVAP exposed to wound healing was 7-10 d(average,8.5d).All wounds were healed in one stage without complications and obvious scars.After 6 months of follow-up,the total satisfaction rate of patients was 92.31%.Conclusion The surgical treatment of totally implantable venous port exposed wound is effective,which is worthy of clinical promotion.

关 键 词：完全植入式静脉输液港 外露 伤口 手术治疗 并发症 

分 类 号：R622[医药卫生—整形外科]