B超引导改良塞丁格PICC置管技术应用于乳腺癌患者化疗的体会

The Application of B-ultrasound Guided Improved Seldinger Technique in Chemotherapy Treatment of Breast Cancer Patients

目的 探讨B超引导下改良塞丁格技术行PICC置管应用于乳腺癌化疗患者的临床效果。方法 收集我科2013年11月-2015年5月需长期静脉输液化疗且外周血管条件差的98例乳腺癌患者的临床资料,经B超引导下改良塞丁格技术置入巴德单腔三向瓣膜式PICC导管。结果 置管成功率100%,其中1针成功92例,2-3针成功6例,有8例轻微并发症发生。结论 采用B超引导下改良塞丁格技术进行PICC置管操作方便,穿刺成功率高,减少了机械性静脉炎的发生,为乳腺癌患者术后化疗用药提供了一条安全方便的输液途径。

Objective To explore the effects and safety of B-ultrasound guided improved Seldinger technique in the chemo- therapy treatment of breast cancer patients in preventing phlebitis and local tissue necrosis induced by drugs exosmosis. Methods We collected 98 cases of breast cancer patients who required long-term intravenous infusion and chemotherapy. All of them had poor peripheral vascular condition, so they were given the Bard PICC implanted by the B-ultrasound guided improved Seldinger technique. Results The successful rate of puncture was 100%. 92 cases were punctured successfully in one time. Six cases were punctured successfully in 2 or 3 times. And 8 cases had minor complications. Conclusion B-ultrasound guided improved Seldinger technique was easy to operate. It also provided high successful rate of puncture and low risk of mechanical phlebitis. Thus it is a safe and convenient infusion approach for the breast cancer patients with postoperative chemotherapy.