体表测量联合腔内心电图定位技术在胸壁输液港植入术中的应用效果  

Application effect of body surface measurement combined with intracavitary electrocardiogram localization technique in chest wall infusion port implantation

作　　者：张展尚 管玉婷 廖立安[1] 曾国斌[1] ZHANG Zhanshang;GUAN Yuting;LIAO Li'an;ZENG Guobin(Department of Intervention,Meizhou People's Hospital,Meizhou,Guangdong 514031,China)

机构地区：[1]梅州市人民医院介入科,广东梅州514031

出　　处：《医药前沿》2025年第6期132-135,共4页Journal of Frontiers of Medicine

摘　　要：目的观察体表测量联合腔内心电图(IC-ECG)定位技术在胸壁输液港植入术中的应用效果。方法回顾性分析2020年3月-2021年1月梅州市人民医院收治的120例行静脉胸壁输液港植入术的患者,根据不同置管方法分为对照组和IC-ECG组各60例。对照组采用体表测量法置管,IC-ECG组采用体表测量联合IC-ECG定位进行胸壁输液港植入术,均于术后X线片确认导管尖端位置。比较两组术中导管尖端到达最佳位置(CAJ)到位率、导管长度与实际置入长度、手术时间、术后导管位置和导管置管后并发症发生率。结果IC-ECG组尖端位置位于CAJ点到位率高于对照组,差异有统计学意义(P<0.05);两组体表测量长度均大于实际置入长度,但差异无统计学意义(P>0.05);IC-ECG组实际置入长度小于对照组,差异有统计学意义(P<0.05);IC-ECG组手术耗时短于对照组,差异有统计学意义(P<0.05);IC-ECG组并发症总发生率低于对照组,但差异无统计学意义(P>0.05)。结论体表测量联合IC-ECG能够提高胸壁输液港植入术患者导管尖端定位的准确性,缩短手术时间,减少导管长度,且不会增加并发症发生率。Objective To observe the application effect of body surface measurement combined with intracavity electrocardiogram(IC-ECG)localization technology in chest wall infusion port implantation.Methods A retrospective analysis was performed on 120 patients who underwent intravenous chest wall infusion implantation in Meizhou People's Hospital from March 2020 to January 2021,and they were divided into control group and IC-ECG group with 60 cases in each group according to different catheterization methods.The control group was implanted with body surface measurement,and the IC-ECG group was implanted with body surface measurement combined with IC-ECG positioning.The position of catheter tip was confirmed by postoperative X-ray.The optimal placement rate of catheter tip(CAJ),the length of catheter and the actual placement length,the operative time,the position of catheter and the incidence of complications after catheter placement were compared between the two groups.Results The optimal placement rate of the tip of the IC-ECG group was higher than that of the control group(P<0.05).The measured length of the body surface was greater than the actual implantation length in both groups,but the difference was not statistically significant(P>0.05).The actual implantation length in IC-ECG group was lower than that in control group,and the difference was statistically significant(P<0.05).The operation time in IC-ECG group was shorter than that in control group,and the difference was statistically significant(P<0.05).The overall incidence of complications in IC-ECG group was lower than that in control group,but there was no significant difference between the two groups(P>0.05).Conclusions Body surface measurement combined with IC-ECG can improve the accuracy of catheter tip location,shorten the operation time,reduce the length of catheter and do not increase the incidence of complications.

关 键 词：心电图 胸壁输液港 体表测量 腔内心电图定位技术 导管尖端位置 

分 类 号：R473[医药卫生—护理学]