国产埋入式药泵经皮左锁骨下动脉植入术

Percutaneous home-made port-catheter-system implantation via left subclavian artery

目的：研究国产导管药盒系统（PCS）经皮左锁骨下动脉植入术治疗晚期恶性实质性肿瘤的操作方法、安全性及临床应用价值。材料与方法：对60例胸、腹部及盆腔恶性肿瘤患者，经皮左锁骨下动脉穿刺行国产PCS植入术。术后经PCS行规律性化疗或碘油乳化剂栓塞。结果：所有病入PCS植入术全部成功，导管留置于降主动脉18例，肝固有动脉20例，肝总动脉12例，腹腔动脉6例，左右骼内动脉各2例。并发症有穿刺局部血肿6例（10％），切口延迟愈合4例（6．7％）。所有并发症经处理均痊愈，无严重后遗症。结论：经皮锁骨下动脉植入国产PCS操作方便，并发症少而轻，是动脉内化疗和碘油乳剂栓塞的一条安全可靠途径；国产药盒价格低廉，质量可靠，适合国情。

To investigate the operating technique, safety and clinical value of home-made port-catheter-system (PCS) implantation in treatment of advanced malignant soid tumors with percutaneous left subclavian artery purcture technique. Materials and Methods: This technique was used to treat thoracic, abdominal and pelvic malignant tumors in sixty patients. Intra-arterial chemotherapy or chemoembolization with emulsion of anticancerous agents and lipiodol were regulary carried out via PCS. Results: All PCS implantation were successful. The tips of PCS catheter were indevelled in descending aorta, proper hepatic artery, common hepatic artery, celiac artery and left or right internal iliac artery in 18, 20, 12, 6 and 4 cases, respectively. The related complications occured in 10 cases (16. 7% ), including local hematoma 6 cases (10%), delayed wound healing 4 cases (6.7%). All recovered after appropriate management, without severe sequelae. Conclusion: Percutaneous homemade PCS implantation via left subclavinan artery provides a safe method for intraarterial chemotherapy or chemoembolization for malignancies, home-made PCS is safe, reliable cheaper and more suitable for Chinese thanimport products.