CAJ | 학술논문

目的：探讨超声引导下经颈内静脉植入输液港的手术技巧、并发症及临床意义，了解输液港的安全性与可行性。方法：回顾性分析2013年1月-2014年6月本院196例行静脉输液港植入术的乳腺癌患者的病例资料。结果：本组患者超声引导下经颈内静脉输液港植入术的首次穿刺成功率为100%，经胸部正位片导管尖端位于4~6T。术中无患者出现气胸血胸、误穿动脉、心律失常、血肿及气体栓塞等并发症。颈部不适、牵拉感5例，颈部穿刺处导管成角1例（经左侧颈内静脉），注射座连接处导管出现扭曲3例，无患者因为并发症取出输液港。结论：超声引导下经颈内静脉植入输液港是安全有效，简单可行，能够减少患者痛苦，提高患者的生活质量。值得在临床上推广。
목적：탐토초성인도하경경내정맥식입수액항적수술기교、병발증급림상의의，료해수액항적안전성여가행성。방법：회고성분석2013년1월-2014년6월본원196례행정맥수액항식입술적유선암환자적병례자료。결과：본조환자초성인도하경경내정맥수액항식입술적수차천자성공솔위100%，경흉부정위편도관첨단위우4~6T。술중무환자출현기흉혈흉、오천동맥、심률실상、혈종급기체전새등병발증。경부불괄、견랍감5례，경부천자처도관성각1례（경좌측경내정맥），주사좌련접처도관출현뉴곡3례，무환자인위병발증취출수액항。결론：초성인도하경경내정맥식입수액항시안전유효，간단가행，능구감소환자통고，제고환자적생활질량。치득재림상상추엄。
Objective:To study the surgical techniques,complications and clinical significance of ultrasound-guided internal jugular vein implantation of access port(IVAP).To assess the safety and feasibility of the access port. Method:The clinical data 196 cases breast cancer patients who implanted IVAP from January 2013 to June 2014 in our hospital were analyzed retrospectively.Result:The success rate of first puncture in this group of patients was 100%,the catheter tip was located between the 4-6 T in the chest radiograph.There were no pneumothorax,hemothorax,arterial puncture,arrhythmia,hematoma,gas embolism and other complications in the patients.5 cases of neck discomfort and a sense of pulling.The catheter into the angle in 1 cases(through the left internal jugular vein),3 cases finded the catheter distort in the injection seat at the connection.No patient removed transfusion port because of complications. Conclusion:Ultrasound-Guided Insertion of Implantable venous access port through Internal jugular vein is safe and effective,simple and feasible,can reduce the pain of patients,improve the patient’s quality of life.So it is worthy of promotion in clinical work.