B超引导下Seldinger技术置入中线导管在减重手术患者中的应用

Application of Seldinger Technique in Midline Catheter Implantation under B-Ultrasound Guidance in Patients Undergoing Bariatric Surgery

目的:观察B超引导下Seldinger技术置入中线导管在减重手术患者中的临床应用效果。方法:对2022年8月~2023年8月西安市某三级甲等医院肝胆外科的75例减重手术患者经超声引导下置入中线导管,在导管留置期间定期维护观察。结果:本研究共置管75例患者,置管成功率100%,操作时间为(33.29 ± 3.76) min;留置时间为(4.53 ± 0.79) d;导管留置期间并发症发生率为8.0%,未发生静脉炎、导管相关性血流感染、导管相关性血栓等严重并发症,患者住院期间的带管舒适度提高。结论:采用B超引导Seldinger技术下置入中线导管耗时短,一次穿刺置管成功率高,减少了导管相关并发症的发生率,同时也能提高患者的置管舒适度,值得临床推广。

Objective: To observe the clinical effect of Seldinger technique inserted into midline catheter under B-ultrasound guidance in patients undergoing weight loss surgery. Methods: From August 2022 to August 2023, 75 cases of bariatric surgery patients in the Department of Hepatobiliary Surgery of a Grade-III Hospital in Xi’an were implanted with midline catheterization guided by ultrasound, and maintained regularly during the catheter indwelling period. Results: In this study, 75 patients were co-catheterized, the success rate of catheterization was 100%, and the operation time was (33.29 ± 3.76) min. The indwelling time was (4.53 ± 0.79) d. The incidence of complications during catheter indwelling was 8.0%, and no serious complications such as phlebitis, catheter-related bloodstream infection and catheter-related thrombosis occurred. The comfort of patients with tubes was improved during hospitalization. Conclusion: The placement of midline catheter with B-ultrasound guided Seldinger technique is short in time and has a high success rate of catheter insertion, which reduces the incidence of catheter-related complications and can also improve the comfort of patients with catheter insertion, which is worthy of clinical promotion.