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皮下中心静脉港(PowerPort)植入后的并发症

Complications after implantation of subcutaneous central venous ports (PowerPort).

作者信息

Nakamura Takatoshi, Sasaki Jiichiro, Asari Yasushi, Sato Takeo, Torii Shinzo, Watanabe Masahiko

机构信息

Department of Surgery, Kitasato University School of Medicine, Japan.

Division of Clinical Oncology, Department of Comprehensive Medicine, Research and Development Center for New Medical Frontiers, Kitasato University School of Medicine, Japan.

出版信息

Ann Med Surg (Lond). 2017 Mar 10;17:1-6. doi: 10.1016/j.amsu.2017.03.014. eCollection 2017 May.

Abstract

BACKGROUND

The aim of our study was revised as follows: to clarify the postoperative complications of multifunctional central venous ports and the risk factors for such complications to promote the safe use of the PowerPort system in the hospital.

METHODS

The study group comprised 132 patients in whom implantable central venous access ports (PowerPort) were placed in our hospital from March 2014 through December 2015. The approach used for port placement was the subclavian vein in 43 patients (33%), the internal jugular vein in 87 patients (66%), and the femoral vein in 2 patients (1%).

RESULTS

Postoperative complications occurred in 8 patients (6%). The catheter was removed because of infection in 4 patients and catheter kinking in 1 patient. Port extravasation occurred in 3 patients. No patient had catheter pinch-off. The mean operation time was 74 min (range, 32 to 171). No patients had intraoperative bleeding or pneumothorax. Benign disease was a risk factor for postoperative complications (p = 0.009).

CONCLUSION

PowerPort is a multifunctional port. Benign disease was a risk factor for postoperative complications. Because many types of subcutaneously implanted ports are used in our hospital, we had to inform the hospital staff about the functions of PowerPort.

摘要

背景

我们研究的目的修订如下:明确多功能中心静脉端口的术后并发症以及这些并发症的危险因素,以促进PowerPort系统在医院的安全使用。

方法

研究组包括2014年3月至2015年12月期间在我院植入可植入式中心静脉通路端口(PowerPort)的132例患者。端口置入的途径为:43例患者(33%)采用锁骨下静脉,87例患者(66%)采用颈内静脉,2例患者(1%)采用股静脉。

结果

8例患者(6%)发生术后并发症。4例患者因感染拔除导管,1例患者因导管扭曲拔除导管。3例患者发生端口渗漏。无患者发生导管夹闭。平均手术时间为74分钟(范围32至171分钟)。无患者发生术中出血或气胸。良性疾病是术后并发症的危险因素(p = 0.009)。

结论

PowerPort是一种多功能端口。良性疾病是术后并发症的危险因素。由于我院使用多种皮下植入端口,我们必须告知医院工作人员PowerPort的功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7799/5358939/fdc914032754/gr1.jpg

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