不同手术策略及切口对输液港取出术的影响

发布时间：2018-03-06 17:48

本文选题：静脉输液港　切入点：输液港取出　出处：《广东医学》2017年08期 　论文类型：期刊论文

【摘要】：目的分析不同手术策略及切口对输液港取出术的手术效果的影响。方法回顾性分析297例行输液港取出术患者的临床资料,分析不同手术策略(先底座后导管及先导管后底座)及不同切口(位于底座及位于导管)对手术时间及术后并发症的影响。结果在切口位于底座的患者中,采用先底座后导管策略及采用先导管后底座策略的患者分别为67.1%(106/158)和32.9%(52/158),不同策略手术时间差异有统计学意义(χ~2=28.030,P0.01),但并发症差异无统计学意义(P0.05);在切口位于导管的患者中,采用先底座后导管策略及采用先导管后底座策略的患者分别为41.0%(57/139)和59.0%(82/139),两组策略手术时间及术后并发症均差异无统计学意义(P0.05);不同切口患者中,手术时间及血肿形成差异有统计学意义(χ~2=7.143、10.586,P0.01)。结论输液港取出时如切口位于底座上方,采用先底座后导管的策略可能会缩短手术时间;如切口位于导管上方,两种策略均可;在输液港植入术时应将切口置于锁扣上缘以下皮肤,有助于减少手术时间及术后血肿的形成。
[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.
【作者单位】：广州医科大学附属第二医院乳腺外科;
【分类号】：R472

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