乳腺癌术中经腋静脉放置植入式静脉输液港40例临床研究40例临床研究

Implantation of Venous Access Port via Axillary Vein in the Operation of Breast Cancer: A Retrospective Study of 40 Cases

目的探讨乳腺癌术中经腋静脉放置植入式静脉输液港（输液港）的优点、并发症发生的原因和对策。方法回顾性分析2011年1月-2014年9月40例行乳腺癌术中经腋静脉放置输液港患者的临床资料,所有患者均为女性,年龄32~62岁,平均49.3岁。对输液港放置所需时间、留置时间、并发症、取管原因等进行分析。结果放置输液港平均需23.3 min。输液港留置时间平均为395 d,最长为917 d。术后4例（10%）患者出现导管相关并发症：注射座局部感染2例,输液不畅2例。共35例患者取出输液港,其中31例因化学治疗结束取出输液港,4例因并发症取出输液港。结论乳腺癌术中经腋静脉放置输液港操作简单,耗时短,注射座局部感染发生率偏高,适当筛选病例和采取严格规范的无菌操作可减少其感染发生。

Objective To summarize the advantages and complications of implantation of venous access port via axillary vein in the operation of breast cancer,and to explore the countermeasures against the complications.Methods A total of 40 female patients with breast cancer were enrolled in this observational study between January 2011 and September 2014.They were aged from 32 to 62 years with a mean of 49.3 years.The time for implantation,catheter life,reasons for port removal and complications were evaluated.Results The average time for implantation was 23.3 minutes.The catheter life ranged from 142 to 917 days with a mean of 395 days.Four patients（10%） had portrelated complications including 2 cases of pocket infection and 2 of catheter dysfunction.Thirty-one ports were removed for termination of chemotherapy,and four were removed for complications.Conclusions It is simple and time-saving to implant venous access port via axillary vein in the operation of breast cancer.The incidence of pocket infection is high,and is expected to be reduced by choosing appropriate cases and taking strict aseptic norms.