改良塞丁格技术行上臂PICC在乳腺癌化疗期间的临床应用

摘要

Objective To investigate effect of modified Seldinger technique on peripherally inserted central catheter (PICC) in upper arm under real-time ultrasonographic guidance during chemotherapy for patients with unilateral breast cancer.Methods A total of 64 patients with unilateral breast cancer underwent postoperative chemotherapy,and modified Seldinger technique on peripherally inserted central catheter (PICC) in upper arm under real-time ultrasonographic guidance.The success rate,complications and questionnaires of comfort levels were observed.Results Success rate of 64 patients was 100％,and 3 patients (4.69％) with mechanical phlebitis were without vein thrombosis; catheter tips of 57 patients (89.06％) were at the best position,7 patients (10.94％) were not at the best position with normal chemotherapy after normotopia rectification.Questinnnaire of comfort level for all patients showed 54 patients (84.38％) were comfortable,9 patients (14.06％) were nomal and 1 patient was uncomfortable (1.56％).Conclusion Intravenous infusion channel by modified Seldinger technique on P1CC in upper arm under real-time ultrasonographic guidance during chemotherapy may improve patients'comfort level and success rate as a safe approach.%目的 探讨乳腺癌患者化疗期间在超声引导下应用改良塞丁格技术行上臂经外周中心静脉置管(PICC)的效果.方法 对64例单侧乳腺癌术后化疗患者,在超声引导下应用改良塞丁格技术行上臂PICC置管,观察置管成功率、并发症,并进行舒适度问卷调查.结果 64例上臂置管成功率为100％,发生机械性静脉炎3例(4.69％),无静脉血栓形成；57例(89.06％)导管头端处于最佳位置,7例(10.94％)处于非最佳位置,经正位后可正常化疗.患者舒适度问卷调查显示,舒服54例(84.38％),一般舒服9例(14.06％),不舒服I例(1.56％).结论 乳腺癌化疗患者在超声引导下应用改良塞丁格技术行上臂PICC置入,使用安全,置管成功率高,提高了患者的舒适度.