CAJ | 학술논문

目的：比较不同路径植入输液港的临床使用效果及术后并发症发生情况。方法分析359例静脉输液港植入术的患者资料，按置入路径不同分为两组，经颈内静脉置入组307例，经锁骨下静脉置入组52例，比较两组患者术后导管的通畅情况及并发症发生情况。结果经颈内静脉植入的307例患者中出现术后感染3例，输液不畅13例，导管脱落及移位共2例，并发症发生率为5．86％；经锁骨下静脉植入组52例患者中出现术后感染2例，输液不畅6例，导管断裂2例，局部血肿5例，并发症发生率为28．85％。经锁骨下静脉置入组并发症发生率高于经颈内静脉置入组，两组差异有统计学意义（χ2＝28．140，P ＝0．000）。结论不同路径植入的静脉输液港均可以为患者提供安全、可靠的输液通道，提高患者的生活质量，但经颈内静脉植入组较经锁骨下静脉植入组在临床应用方面略有优势。
목적：비교불동로경식입수액항적림상사용효과급술후병발증발생정황。방법분석359례정맥수액항식입술적환자자료，안치입로경불동분위량조，경경내정맥치입조307례，경쇄골하정맥치입조52례，비교량조환자술후도관적통창정황급병발증발생정황。결과경경내정맥식입적307례환자중출현술후감염3례，수액불창13례，도관탈락급이위공2례，병발증발생솔위5．86％；경쇄골하정맥식입조52례환자중출현술후감염2례，수액불창6례，도관단렬2례，국부혈종5례，병발증발생솔위28．85％。경쇄골하정맥치입조병발증발생솔고우경경내정맥치입조，량조차이유통계학의의（χ2＝28．140，P ＝0．000）。결론불동로경식입적정맥수액항균가이위환자제공안전、가고적수액통도，제고환자적생활질량，단경경내정맥식입조교경쇄골하정맥식입조재림상응용방면략유우세。
Objective To compare of the clinical using effect of implantable venous -access port(VAP) among different methods and the postoperative complication.Methods From 2011 to 2014,a total of 359 patients with VAP were included in this study.All patients were divided into two groups according to the surgery approaches methods,307 cases were implanted through internal jugular vein,and other 52 cases were through subclavian vein intubation.Statistics of postoperative flow conditions and complication between the two groups were gathered and com-pared.Results There were 3 cases of postoperative infected,and 13 cases were not free of transfusion,while 2 cases catheter were shed and shifted in the 307 cases of implantation through internal jugular vein,the complication rate was 5.86%;In other group,which in total of 52 cases of implantation through subclavian vein,including 2 cases were post-operative infected,6 cases were not free of transfusion,2 cases are of catheter fracture and5 cases were local hemato-ma,the complication rate was 28.85%.There was difference in rate of catheter leakage,catheter tip dystopy and cath-eter related infection between two groups[the proportion of through internal jugular vein vs that the group through sub-clavian vein:5.86%(18 /307)vs 28.85%(15 /52),χ2 =28.140,P =0.000].Conclusion The study suggests that the two ways of different operation methods of VAP are safe and reliable for long term intermittent venous access.The internal jugular vein implanted group has a slight advantage over the group of subclavian vein implanted,when it comes to develop the patients′living quality.