彭蓉蓉 李妤

[摘要]目的 探讨超声引导下植入式输液港在乳腺癌化疗中的应用效果。方法 回顾性分析2018年1月～2019年6月我院收治的68例乳腺癌患者的临床资料，按照置管方式不同分为对照组（35例）与观察组（33例）。对照组实施中心静脉置管术，观察组实施超声引导下植入式输液港，比较两组的置管有效性（置管成功率、导管留置时间、导管维护间隔时间及导管维护操作时间）、舒适度及并发症。结果 两组的置管成功率比较，差异无统计学意义（P>0.05）;观察组的导管留置时间、导管维护间隔时间长于对照组，导管维护操作时间短于对照组，差异有统计学意义（P<0.05）;观察组的置管舒适度优于对照组，差异有统计学意义（P<0.05）;观察组的并发症总发生率低于对照组，差异有统计学意义（P<0.05）。结论 超声引导下植入式输液港置管有效性高，留置时间长，置管舒适度高，可减少置管后并发症。

[关键词]乳腺癌;植入式输液港;有效性;安全性

[中图分类号] R737.9          [文献标识码] A          [文章编号] 1674-4721（2020）6（b）-0089-04

[Abstract] Objective To explore the application effect of ultrasound-guided implantable infusion port in breast cancer chemotherapy. Methods The clinical data of 68 breast cancer patients admitted into our hospital from January 2018 to June 2019 were retrospectively analyzed. Those patients were divided into the control group （n=35） and the observation group （n=33） according to different ways of catheterization. Central venous catheterization was used in the control group， and ultrasound-guided implantable infusion port was used in the observation group. The effectiveness of catheterization （success rate of catheterization， catheter indwelling time， interval time of catheter maintenance and operation time of catheter maintenance）， comfort level and complications were compared between the two groups. Results There was no significant difference in the success rate of catheterization between the two groups （P>0.05）. The catheter indwelling time and interval time of catheter maintenance in the observation group were longer than those of the control group， while the operation time of catheter maintenance was shorter than that of the control group， with statistical significance （P<0.05）. The comfort level of catheterization in the observation group was higher than that of the control group， and the difference was statistically significant （P<0.05）. The total incidence of complications in the observation group was lower than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion Ultrasound-guided implantable infusion port has high effectiveness， long indwelling time， high comfort level， and can reduce complications after catheterization.

[Key words] Breast cancer; Implantable infusion port; Effectiveness; Safety

乳腺癌是女性惡性肿瘤之一，患者发病后，可实施靶向治疗、内分泌治疗或化疗。化疗是其中一种常用手段，在化疗过程中需对患者进行频繁输液，而反复穿刺会造成创伤，增加患者痛苦，且化疗药物可刺激外周血管，易造成静脉炎，故需建立一条安全、稳定、留置时间长的深静脉输液通道[1-2]。中心静脉置管术是传统置管方式，置管优势确切，而植入式输液港于近年来才在国外报道，此后被应用于临床。Gurkan等[3]的研究结果显示，植入式输液港在癌症化疗中具有较高应用价值，但其仍有一定并发症风险。……