改良Seldinger技术在晚期肿瘤患者化疗中的应用

Application of modified seldinger technique in chemotherapy for tumor patients in later period

目的探讨改良Seldinger技术在晚期肿瘤患者经外周中心静脉置管（PICC）中的应用效果。方法将80例患者随机分为实验组和对照组各40例，分别行超声引导下改良Seldinger技术PICC置管术及传统PICC，比较两组患者的置管成功率及术后并发症发生率。结果超声引导下改良Seldinger技术置管成功率为97．5％、传统PICC置管成功率为80．0％，两者比较差异有统计学意义（x2=6．135，P〈0．05）；两组患者术后并发症比较差异有统计学意义（x2分别为12．468、16．970、2．051，P〈0．05）。结论超声引导下改良Seldinger技术提高患者的舒适度及护士的工作效率，值得在临床中广泛开展。

Objective To explore the application of modified seldinger technique （MST） in advanced cancer patients and its superiority. Methods The MST was used in 20 patients who required peripherally insert central catheter （PICC） and they were divided into experimental group （ n = 40） and control group （ n = 40）. The experimental group was treated with seldinger technique and the control group was treated with traditional PICC. The intubation success rate, complication rate and clinical application advantages were accounted and compare between the two groups. Results The intubation success rate in experimental group was 97.5% and that in control group was 80.0%, there were statistical significance （ X2 = 6. 135 ,P 〈 0. 05 ） ; the incience of postoperative complications between experlmetal group and control group were statistical significance （x2 = 12.468,16.970,2.051 ;P 〈0. 05 ）. Conclusions Modified Seldinger technique with ultrasound guided have a useful effect, it should be widely carried out in clinical.