内静脉与外静脉作为儿童完全可植入静脉接入口的插入部位:随机比较研究
Chen Zhen1, Wei Yandong1, Ye Mao1
1Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing, China.
Pediatric surgery international
|February 12, 2025
概括
对于儿科静脉接入口,外静脉切割是一种安全有效的方法. 这种技术与内静脉接入相比具有优势,并发症率相似.
科学领域:
- 儿科手术 儿科手术
- 血管接入 血管接入
- 在瘤学方面提供支持.
背景情况:
- 全静脉接入口 (TIVAP) 对于儿童的长期治疗至关重要.
- 对于TIVAP植入,存在各种不同的手术方法,每一种都有潜在的风险和益处.
研究的目的:
- 为了比较外静脉切割与TIVAP植入幼儿的内静脉切割的安全性和有效性.
- 评估与每种手术方法相关的并发症率和生活质量.
主要方法:
- 一项随机研究包括了107名在2018年1月至2022年1月期间需要TIVAP植入的儿童.
- 患者被随机分配到外静脉切割组 (EJVCP) 或内静脉切割组 (IJVCP).
主要成果:
- 与IJVCP组 (63.6分钟) 相比,EJVCP组的平均操作时间 (32.5分钟) 显著缩短.
- 晚期并发症的总体发生率在EJVCP组 (14.5%) 和IJVCP组 (13.4%) 之间是相似的.
结论:
- 外部关静脉通道是肤浅的,易于学习,并且具有最小的生理重要性.
- 外静脉切断是儿童TIVAP植入的安全有效的首选方法,不会增加并发症.
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