图像和内腔心电图指导的手臂端口在结肠直肠癌中的放置:一项回顾性比较研究
Gui-Lan Xie1,2, Jing Heng2, Xiu-Fen Jia3
1School of Nursing, Xuzhou Medical University, Xuzhou 221000, Jiangsu Province, China.
World journal of gastrointestinal surgery
|November 3, 2025
概括
一种新的图像引导技术显著改善了结直肠癌患者的手臂端位置,提高了准确性并减少了并发症. 与传统方法相比,这种方法提供了更好的化疗交付和结果.
科学领域:
- 医疗器械 医疗器械
- 手术技巧 手术技巧
- 在瘤学瘤学.
背景情况:
- 植入手臂的完全植入式静脉接入装置对于结直肠癌化疗至关重要.
- 传统的解剖学地标定位有其局限性,包括不准确的位置和高的并发症率.
研究的目的:
- 评估结合图像预测与内腔心电图 (IC-ECG) 定位用于大肠癌患者的手臂端口植入的临床价值.
- 将这种新技术的有效性和安全性与传统方法进行比较.
主要方法:
- 对216名接受臂端植入术的结肠直肠癌患者进行了回顾性分析.
- 患者被分为一个实验组 (图像预测+IC-ECG) 和一个对照组 (传统技术).
- 测量的主要结果包括技术成功率,手术时间,导管尖端精度和并发症率.
主要成果:
- 实验组显示出更高的技术成功率 (98.4% vs 92.7%) 和更好的导管尖端定位精度 (97.6% vs 85.4%).
- 在实验组中,操作时间和X射线暴露显著减少.
- 手术后并发症的发生率明显较低 (4.1%与14.6%相比),血栓形成,位移和闭塞的情况较少.
结论:
- 图像预测与IC-ECG定位相结合,可提高结直肠癌患者手臂端植入器的精度和效率.
- 这种技术可以减少并发症并改善长期结果,包括更高的化疗完成率.
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