国产埋入式药盒介入法植入的临床应用

Percutaneous Intravascular Home-Made Port-Catheter System Implantation

目的:研究国产埋入式药盒系统(PCS)介入法植入的可能性及安全性。材料和方法:对63例恶性肿瘤,采用国产PCS行经皮血管内植入术,术后经PCS化疗或栓塞。结果:PCS植入全部成功,留置管均位于肿瘤供养动脉。并发症有穿刺局部血肿5例(7.9％),切口延迟愈合或开裂4例(6.3％),留置导管阻塞4例(6.3％),留置导管移位1例(1.5％),局部感染2例(3.1％)。所有并发症经相应处理后痊愈,无严重后遗症。结论:国产PCS介入法植入是可行的,安全的。

Purpose: To investigate the security and clinical value of percutaneous intravascular home-made port-catheter-system(PCS) implatation. Materials and Methods: This technique was used to treat thoracic, abdominal and pecvic malignant tuwcors in 63 patients. Intra-arterial injection of anticancerous agents and lipiodol were regularly carried out Via PCS. Results: All PCS implatation were successful. The PCS catheter tips were all retained within target vessels. The related complications in- cluded local hemorrhage (5 cases, 7.9%), wound delaged healing or wound dehiscence (4 cases, 6. 3%), indwelling catheter blockage (4 cases, 6. 3%), migrating of catheter tip (1case, 1.5%), local infection (2cases, 3.1%). Most of these cases were recovered after appropriate management without any fatal and pevae sequelae. Conclusion: Percutaneous Intravascular home-made port-eatheter system implantation is safe and reliable. Home-made PCS is cheaper and more suitable for chinese than im- ported products.