四种深静脉置管的成功率及并发症比较

Comparison of success rate and complications of four patterns of deep-vein catheter plucement

目的不同深静脉置管方法在肿瘤科的应用比较,以便更好的将深静脉置管等应用于临床,减轻治疗过程中的不良反应,减轻患者痛苦及经济负担。方法我科2007年8月-2008年8月所完成的92例患者（其中颈外静脉25例、锁骨下静脉22例、股静脉24例、PICC 21例）,对4种方法各自的成功率和并发症等情况进行比较。结果一次穿刺成功率,颈外静脉组为76%,锁骨下静脉组为77.3%（介入下）,股静脉组为70.8%,PICC组为76.2%;4组深静脉置管的平均操作时间相似,差异无统计学意义,PICC静脉置管的并发症高于其它3组（P〈0.05）。结论颈外静脉因其易操作、成本低、易观察、价格适中,易被患者及家属接受,值得在肿瘤科推广。

Objective To compare different deep-vein catheter placement in department of oncology,for better use of deep-vein catheter placement,to relieve the adverse realfion during therapy,the pain and the barden of patients.Methods Analysis 92 patients between August 2007 and August 2008 C25 through external jugular vein,22 through subclavian vein,24 through femoral vein,21PICC）,compare the success rate and complications of four patterns.Results The success rate on first time were 76%（external jugular vein）、77.3%（subclavion vein）、70.8%（femoral vein） and 76.2（PICC）.The mean operationy time of four groups were similar.The complication of PICC group was higher than other groups.CondusionCatheter placement through external jugular vein is easy to operate and chserve,is lower cost,is worth to better use in the department of oncology.