本文選題：靜脈輸液港　切入點(diǎn)：輸液港取出　出處：《廣東醫(yī)學(xué)》2017年08期 　論文類型：期刊論文

【摘要】：目的分析不同手術(shù)策略及切口對輸液港取出術(shù)的手術(shù)效果的影響。方法回顧性分析297例行輸液港取出術(shù)患者的臨床資料,分析不同手術(shù)策略(先底座后導(dǎo)管及先導(dǎo)管后底座)及不同切口(位于底座及位于導(dǎo)管)對手術(shù)時(shí)間及術(shù)后并發(fā)癥的影響。結(jié)果在切口位于底座的患者中,采用先底座后導(dǎo)管策略及采用先導(dǎo)管后底座策略的患者分別為67.1%(106/158)和32.9%(52/158),不同策略手術(shù)時(shí)間差異有統(tǒng)計(jì)學(xué)意義(χ~2=28.030,P0.01),但并發(fā)癥差異無統(tǒng)計(jì)學(xué)意義(P0.05);在切口位于導(dǎo)管的患者中,采用先底座后導(dǎo)管策略及采用先導(dǎo)管后底座策略的患者分別為41.0%(57/139)和59.0%(82/139),兩組策略手術(shù)時(shí)間及術(shù)后并發(fā)癥均差異無統(tǒng)計(jì)學(xué)意義(P0.05);不同切口患者中,手術(shù)時(shí)間及血腫形成差異有統(tǒng)計(jì)學(xué)意義(χ~2=7.143、10.586,P0.01)。結(jié)論輸液港取出時(shí)如切口位于底座上方,采用先底座后導(dǎo)管的策略可能會縮短手術(shù)時(shí)間;如切口位于導(dǎo)管上方,兩種策略均可;在輸液港植入術(shù)時(shí)應(yīng)將切口置于鎖扣上緣以下皮膚,有助于減少手術(shù)時(shí)間及術(shù)后血腫的形成。
[Abstract]:Objective to analyze the effect of different surgical strategies and incisions on the surgical effect of the port of infusion removal. Methods the clinical data of 297 patients undergoing infusion port extraction were analyzed retrospectively. To analyze the effects of different surgical strategies (first pedestal and posterior catheter and first catheter and posterior base) and different incisions (at the base and at the catheter) on the operative time and postoperative complications. There were significant differences in the operation time of different strategies (蠂 ~ 2 / 2 ~ (28.030) P ~ (0.01)), but there was no significant difference in complications (P ~ (0.05)). In the patients with incision located in the catheter, there was a significant difference in the operation time between the two groups (蠂 ~ (2 / 2) ~ 28.030), but there was no significant difference in complications (P = 0.05) in the patients with incision located in the catheter. There were no significant differences in the operation time and postoperative complications between the two groups (41.0%, 57 / 139) and 59.0% (82 / 139), respectively. There was no significant difference in the operative time and postoperative complications between the two groups (P 0.05). The time of operation and the formation of hematoma were significantly different (蠂 ~ (2 / 2) 7.143 ~ 10.586 / P ~ (0.01)). Conclusion if the incision is located above the base, the operation time may be shortened if the incision is located on the top of the catheter, if the incision is above the catheter, the two strategies can be used. The incision should be placed below the upper edge of the clasp during infusion port implantation, which is helpful to reduce the time of operation and the formation of postoperative hematoma.
【作者單位】： 廣州醫(yī)科大學(xué)附屬第二醫(yī)院乳腺外科;
【分類號】：R472

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