植入式静脉输液港与外周静脉穿刺中心静脉置管在乳腺癌辅助化疗中的应用比较

目的：比较植入式静脉输液港（venous port access，VPA）与外周静脉穿刺中心静脉置管（periph-erally inserted central catheter，PICC）在乳腺癌患者化疗中的应用效果，为临床选用提供参考依据。方法根据入院时间的不同将2009年1月至2010年12月南京军区福州总医院120例乳腺癌分为2组，每组60例，分别给予VPA和PICC，比较2组的置管成功率、留管时间、相关并发症。结果一次性置管成功率：VAP组为100％， PICC组为66.7％；留管1年以上：VAP组为59例，PICC组4例；并发症：VAP组为1例，PICC组9例。结论VPA是乳腺癌静脉化疗的理想通道，可减轻护理工作。

Comparison of venous port access and peripherally inserted central catheters in adjuvant chemotherapy for patients with breast cancer

Objective To compare the effects of venous port access （ VPA ） with peripherally inserted central catheters （ PICC） in patients with breast cancer .Methods 120 cases with breast cancer were divided into 2 groups from Jan.2009 to Dec.2010,among whom 60 cases were with VPA when receiving operation , and the other 60 cases were with PICC after the operation .The success rate of catheterization , duration of catheter in-dwelling and catheter-related complications of the 2 groups were compared .Results The one-time success rate of catheterization was 100%in VPA group and 66.7%in PICC group .The catheters were retained for more than 12 months in 59 cases in VPA group,while only 4 cases in PICC group retained catheter for more than 12 months. The complications occurred to 1 case in VPA group （ 1.7%） and 9 cases in PICC group （ 15%） .Conclusion VPA is an ideal pathway for chemotherapy of patients with breast cancer , which can reduce nursing work and is worth to be promoted in clinical practice .