Division of Gynecologic Oncology, Department of Obstetrics and Gynecology and Women's Health, Saint Louis University School of Medicine, MO, USA.
BJOG. 2012 Jan;119(2):150-9. doi: 10.1111/j.1471-0528.2011.03179.x. Epub 2011 Oct 21.
Intraperitoneal access ports are essential to the delivery of chemotherapy agents into the peritoneal cavity of women with ovarian cancer, but their malfunction and adverse effects are frequently responsible for the failure to complete planned therapy. Complications, such as obstruction of the catheter, infection, leakage, rotation, retraction, and pain, together with bowel and vaginal perforation, cause delays in treatment, patient suffering and the expenditure of medical resources. A wide variety of ports have been used, including vascular access devices and intraperitoneal access devices. This paper reviews the development and use of ports for intraperitoneal chemotherapy, their complications and reported methods of prevention.
腹腔内置管是将化疗药物输送到卵巢癌女性腹腔的重要手段,但它们经常出现故障和不良反应,导致无法完成计划治疗。并发症,如导管阻塞、感染、泄漏、旋转、回缩和疼痛,以及肠穿孔和阴道穿孔,会导致治疗延误、患者痛苦和医疗资源浪费。已经使用了各种各样的端口,包括血管接入装置和腹腔接入装置。本文回顾了用于腹腔化疗的端口的发展和使用、它们的并发症以及已报道的预防方法。