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放射科皮下端口:癌症患者护理的一种有效且安全的方法。

Subcutaneous ports in the radiology suite: an effective and safe procedure for care in cancer patients.

作者信息

de Gregorio M A, Miguelena J M, Fernández J A, de Gregorio C, Tres A, Alfonso E R

机构信息

Department of Interventional Radiology, Hospital Clínico Universitario, Zaragoza, Spain.

出版信息

Eur Radiol. 1996;6(5):748-52. doi: 10.1007/BF00187683.

Abstract

The purpose of the study is to present our experience and compare the results of the three types of ports used as a central venous access and performed in the radiology suite. Between March 1989 and November 1993 we performed 288 implantations (100 Implantofix Seldinger, 100 plastic Hickman port, and 88 stainless steel Port-a-cath) for chemotherapeutic treatment on the same number of patients diagnosed as having cancer. In all cases access was obtained via a subclavian vein (the left one in 185 cases and the right one in 103). All the system ports were implanted in the radiology suite. In all cases the procedure was successfully performed. Complications occurred in 26.3% of cases, most notably thrombosis in 13 cases (4.5%) and infection in 12 cases (4.1%). Duration of the port systems placement varied between 17 and 1467 days (a mean of 315 days). A total of 133 systems have been removed to date, 80 (60.%) due to termination of chemotherapy, and 53(40%) for treatment of complications. Significant differences (complications and port duration time) were not observed between the three types of reservoir used. Subcutaneous ports are safe, comfortable, and effective devices for central venous access.

摘要

本研究的目的是介绍我们的经验,并比较在放射科进行的三种用作中心静脉通路的端口的使用结果。1989年3月至1993年11月期间,我们对相同数量的确诊为癌症的患者进行了288次植入手术(100次使用Implantofix Seldinger、100次使用塑料Hickman端口、88次使用不锈钢Port-a-cath)用于化疗。所有病例均通过锁骨下静脉置管(185例为左侧,103例为右侧)。所有系统端口均在放射科植入。所有病例手术均成功完成。26.3%的病例出现并发症,最常见的是13例血栓形成(4.5%)和12例感染(4.1%)。端口系统放置时间为17至1467天(平均315天)。迄今为止,共移除了133个系统,其中80个(60%)因化疗结束而移除,53个(40%)因并发症治疗而移除。在使用的三种储液器类型之间未观察到显著差异(并发症和端口使用时间)。皮下端口是用于中心静脉通路的安全、舒适且有效的装置。

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