标准化内静脉完全植入静脉接入口的安全性和有效性:关注并发症概况和风险因素
Zhen Ma1,2, Mali Chen3, Haixia Chen1
1The Second Clinical Medical School, Lanzhou University, Lanzhou, China.
The American surgeon
|November 26, 2025
概括
完全植入式静脉接入口 (TIVAPs) 的超声导植入是化学疗法的安全和有效的交付. 同时的糖尿病和高血压显著增加并发症风险,需要进行手术前评估.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 在瘤学方面提供支持.
背景情况:
- 完全可植入的静脉接入口 (TIVAPs) 对于化疗至关重要,但存在并发症风险.
- 标准化程序可以减轻这些风险.
- 这项研究的重点是超声导向的内静脉 (IJV) TIVAP植入.
研究的目的:
- 评估超声波导向IJV TIVAP植入物的安全性和有效性.
- 描述与手术相关的并发症.
- 确定TIVAP相关并发症的独立风险因素.
主要方法:
- 对175名癌症患者进行了回顾性分析,这些患者接受了右侧IJV TIVAP植入.
- 标准化方案:超声波引导穿刺,光镜定位尖端,胸部X射线.
- 多变量考克斯回归用于识别并发症风险因素.
主要成果:
- 100%的程序成功率,平均操作时间为40±12分钟.
- 没有观察到早期并发症 (0/175).
- 晚期并发症发生在8.0% (14/175) 的患者中,主要是设备暴露的皮肤. 同时的糖尿病和高血压 (DM + HTN) 是并发症的唯一重要的独立预测因子 (HR = 12.223,P = 0.037).
结论:
- 使用标准化协议进行超声导向IJV TIVAP植入是安全有效的.
- 皮肤是主要的晚期并发症.
- 术前风险评估和代谢健康的优化对于同时患有糖尿病和高血压的患者至关重要.
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