CAJ | 학술논문

目的：探讨完全埋入式输注系统作为胸部恶性肿瘤患者长期静脉输液通路的可行性。方法：2009年12月-2012年5月，共50例胸部恶性肿瘤患者行埋入式输注系统置入术。局麻或全麻下行锁骨下静脉或颈内静脉穿刺术，采用经导丝植入技术置入导管。观察围手术期和置入术后的并发症。结果：手术成功率为98%。所有病人未发生严重并发症。出现相关并发症的病人共6例，1例误穿锁骨下动脉；2例导丝进入颈内静脉，经重置后成功；2例输注系统堵塞，通过活动上肢或推动皮下注射座后复通；1例出现注射座部位泄露，手术取出。有35例因治疗结束按计划取出输注系统。结论：完全埋入式输注系统是胸部恶性肿瘤患者有效和安全的输液途径。采用经导丝植入技术和置管深度计算公式可以保证手术的安全性并达到预期的效果。
목적：탐토완전매입식수주계통작위흉부악성종류환자장기정맥수액통로적가행성。방법：2009년12월-2012년5월，공50례흉부악성종류환자행매입식수주계통치입술。국마혹전마하행쇄골하정맥혹경내정맥천자술，채용경도사식입기술치입도관。관찰위수술기화치입술후적병발증。결과：수술성공솔위98%。소유병인미발생엄중병발증。출현상관병발증적병인공6례，1례오천쇄골하동맥；2례도사진입경내정맥，경중치후성공；2례수주계통도새，통과활동상지혹추동피하주사좌후복통；1례출현주사좌부위설로，수술취출。유35례인치료결속안계화취출수주계통。결론：완전매입식수주계통시흉부악성종류환자유효화안전적수액도경。채용경도사식입기술화치관심도계산공식가이보증수술적안전성병체도예기적효과。
To assess the feasibility of totally implantable access port(TIAP)for long - term transfusion in patients with chest cancer. Methods:From December 2009 to May 2012,we used TIAP for long term transfusion in 50 cases of chest cancer. Under local anesthesia or general anesthesia,with subclavian vein or internal jugular vein puncture,we inserted TIAP with over the wire(OTW)technique. Peri - operation and long term complications were observed. Results:TIAP was inserted successfully at a rate of 98% in all cases. All cases had no serious complica-tion. Among the patients,the tip point of the wire reaching internal jugular vein occurred in two cases,puncture insert-ed subclavian artery improperly in one case. All of them had to receive inserted again and successful. Two patients had the catheter occlusion:Both of them were cured by arm exercise or moving the port. One patient got out the TIAP be-cause the access port leaked. 35 cases had been removed TIAP in plan. Conclusion:TIAP is effective and safe for pa-tients of chest cancer. Operation can achieve success safely with design formulas of catheter depth and OTW tech-nique.