经头静脉切开输液港置入术32例临床分析

doi:10.3969/j.issn.1005-6483.2023.05.010

临床外科杂志 ›› 2023, Vol. 31 ›› Issue (5): 436-439.doi: 10.3969/j.issn.1005-6483.2023.05.010

经头静脉切开输液港置入术32例临床分析

430030 武汉，华中科技大学同济医学院附属同济医院甲状腺乳腺外科

收稿日期:2022-10-14 修回日期:2022-10-14 出版日期:2023-05-20 发布日期:2023-05-20
通讯作者: 沈文状，Email:swz2776@sina.com

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

Department of Thyroid And Breast Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology，Wuhan 430030,China

Received:2022-10-14 Revised:2022-10-14 Online:2023-05-20 Published:2023-05-20

摘要/Abstract

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。

关键词: 静脉输液港, 头静脉切开, 新方法, 临床实践

Abstract: 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.

Key words: totally implantable venous-access ports, cephalic vein venotomy, new methods, clinical practice

董鸿 KUSH 李宁邱衍欢李兴睿易继林沈文状. 经头静脉切开输液港置入术32例临床分析[J]. 临床外科杂志, 2023, 31(5): 436-439.

DONG Hong, KUSH, LI Ning, et al. Experience study of 32 cases of implantable venous-access ports via cephalic vein venotomy[J]. JOURNAL OF CLINICAL SURGERY, 2023, 31(5): 436-439.

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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

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