经皮肤切开显露静脉PICC插管方法可行性研究

Feasibility of Exposing Vein through Transdermal Incision Method of Peripherally Inserted Central Catheter

目的探讨乳腺癌患者根治术后PICC置管穿刺失败后,采用穿刺点上方3cm处切开组织暴露静脉进行PICC置管的可行性。方法比较采用穿刺点上方3cm横行切开组织暴露静脉进行PICC置管,与常规PICC置管的成功率、导管留置时间和并发症如感染发生率、机械性静脉炎发生率。结果2组患者导管感染率及导管留置时间、静脉炎发生率无明显差异。结论乳腺癌根治术后PICC置管穿刺失败后,采用穿刺点上方3cm处切开组织暴露静脉进行PICC置管的方法是可行的。

Objective Probe into the feasibility of exposing vein with 3cm transdermal incision as injection point to place P1CC after routine method failure in breast cancer surgery. Methods Comparing method, contrasting with the success rate, complications during catheter remain time, infection rate and mechanical phlebitis rate of transdennal incision method and routine procedure. Results There were no evident differences between the two groups in catheter remain time, infection rate and mechanical phlebitis rate. Conclusion It is a feasible method that adopting 3 cm transdennal incisions upon point of puncture to inject PICC after routine procedure failure in breast cancer surgery.