| 彩色多普勒引导下完全埋入式静脉输液港颈内静脉植入术的有效性和安全性 |
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| 引用本文： | 宋仲学,刘 健,张佩佩,康 锋,周 灿.彩色多普勒引导下完全埋入式静脉输液港颈内静脉植入术的有效性和安全性[J].现代肿瘤医学,2021,0(14):2506-2509. |
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| 作者姓名： | 宋仲学 刘 健 张佩佩 康 锋 周 灿 |
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| 作者单位： | 1.渭南市第二医院普外科，陕西 渭南 714000；2.渭南市妇幼保健院普外科，陕西 渭南 714000；3.西安交通大学第一附属医院乳腺外科，陕西 西安 710061 |
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| 基金项目： | 陕西省卫生健康科研基金项目（编号:2018C007） |
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| 摘 要： | 目的:探讨彩色多普勒引导下完全埋入式静脉输液港（venous port access，VPA）颈内静脉植入术在地市级医院应用的安全性和有效性。方法:收集2018年02月至2020年02月期间渭南市第二医院需行静脉港植入术的肿瘤患者102例，根据颈内静脉穿刺方法分为彩色多普勒超声引导组（可视组，共51例）或传统盲法（盲穿组，共51例），对比分析两组患者的一次穿刺成功率、患者满意度及术后并发症的差异。结果:可视组患者的手术时间为(29.88±3.63)min，显著短于盲穿组的(36.16±6.64)min（P＜0.05）；一次性穿刺成功率评估结果显示，可视组为98.04%(50/51),明显高于盲穿组84.31%(43/51)；可视组和盲穿组的出血量分别为(6.25±1.64)mL和(10.00±3.48)mL，差异有统计学意义（P＜0.05）；可视组动脉误穿率为0%(0/51),低于盲穿组的3.92%(2/51)；可视组术后并发症发生率为1.96%(1/51)，显著低于盲穿组的15.69%(8/51)（P＜0.05），可视组的满意度明显高于盲穿组。结论:在彩色多普勒超声引导下的静脉输液港植入手术，其一次穿刺成功率高，术后并发症少，且操作简单、方便，值得地市级医院推广应用。
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| 关 键 词： | 静脉输液港 颈内静脉 超声引导 穿刺术 |
The effectiveness and safety of the color Doppler ultrasound guided by venous port access of internal jugular venipuncture |
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| SONG Zhongxue,LIU Jian,ZHANG Peipei,KANG Feng,ZHOU Can.The effectiveness and safety of the color Doppler ultrasound guided by venous port access of internal jugular venipuncture[J].Journal of Modern Oncology,2021,0(14):2506-2509. |
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| Authors: | SONG Zhongxue LIU Jian ZHANG Peipei KANG Feng ZHOU Can |
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| Affiliation: | 1.Department of General Surgery,the Second Hospital of Weinan，Shaanxi Weinan 714000,China;2.Department of General Surgery,Weinan Maternal and Child Health Hospital,Shaanxi Weinan 714000,China;3.Department of Breast Surgery,the First Affiliated Hospital of |
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| Abstract: | Objective:To study the effectiveness and safety of color Doppler ultrasound guided by venous port access (VPA) of internal jugular venipuncture in the regional or municipal hospitals.Methods:A complete clinical data of 102 tumor patients in need of VPA implantation in the Second Hospital of Weinan from February 2018 to February 2020 were collected.Following various ways of VPA implantation procedures,the patients were randomly divided into color Doppler ultrasound-guided venipuncture (visual group,n=51) or traditional blind puncture (non-visual group,n=51) for internal jugular venipuncture.A one-time puncture success rate,satisfaction and the difference in post-operative complications between the two groups were compared.Results:The operation time in the visual group was （29.88±3.63） min,which was significantly shorter than the non-visual group ［(36.16±6.64)min］(P＜0.05).Assessment of a one-time puncture success rate reported a significantly higher outcome of 98.04% (50/51) in the visual group compared to 84.31% (43/51) in the non-visual group.In addition,the bleeding volume of the visual group and the non-visual group were (6.25±1.64)mL and (10.00±3.48)mL respectively (P＜0.05).Comparison of the rate of erroneous arterial puncture showed the visual group (0/51) was lower than the non-visual group 3.92% (2/51).Finally,post-operative complication rates in visual group and non-visual group were 1.96% (1/51) and 15.69% (8/51) respectively (P＜0.05).There was significantly higher satisfaction in visual group than the non-visual group.Conclusion:The color Doppler ultrasound-guided VPA surgical operation has a high one-time success rate of puncture,less surgical complications,simple and convenient operation.The promotion and application of this procedure should therefore be adopted in the regional or municipal hospitals. |
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| Keywords: | venous port access jugular vein color Doppler ultrasound centesis |
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