临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (2): 20-.

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腔内心电图定位技术在胃癌化疗患者输液港植入中的应用

  

  1. 溧阳市人民医院 肿瘤科,江苏 溧阳 213300
  • 出版日期:2025-04-01 发布日期:2025-08-07
  • 基金资助:

    常州市“龙城医星”卫生青年人才托举工程(lcyx2024004)

Application of intracavitary electrocardiogram positioning technology in infusion port implantation for gastric cancer chemotherapy patients

  1. Oncology Department of Liyang People's Hospital, Jiangsu Liyang 213300, China
  • Online:2025-04-01 Published:2025-08-07

摘要:

目的 分析腔内心电图定位技术在胃癌患者输液港植入中的应用效果。方法 选择 2024 年 7 月至 12 月溧阳市人民医院收治的 40 例胃癌化疗患者,按照随机数字表法分为对照组和试验组,各 20 例。对照组采取术中 X 线透视定位导管位置,试验组患者采取腔内心电图定位技术定位导管位置,对比不同方式对导管尖端的定位效果。结果 试验组患者的手术时间短于对照组,穿刺次数、术中导管调整次数及 X线使用频率均少于对照组,但准确率高于对照组,差异均有显著性(P < 0.001)。术后,试验组患者疼痛评分低于对照组,生活质量评分高于对照组,差异均有显著性(P < 0.001)。试验组患者的导管异位、穿刺部位血肿、感染、气胸及心律失常等并发症发生率低于对照组,差异有显著性(P < 0.05)。结论 胃癌化疗患者输液港植入术中应用腔内心电图定位技术降低了并发症发生率,优化了术中操作指标,降低了疼痛程度,改善了生活质量。

关键词: 腔内心电图定位技术, 胃癌, 输液港植入

Abstract:

Objective To analyze the application effect of intracavity electrocardiogram localization technology in infusion port implantation for gastric cancer patients. Method Forty gastric cancer chemotherapy patients admitted to Liyang People's Hospital from July to December 2024 were selected and randomly divided into a control group and an experimental group, with 20 patients in each group, using a random number table method. The control group used intraoperative X-ray fluoroscopy to locate the position of the catheter, while the experimental group patients used intracavitary electrocardiogram positioning technology to locate the catheter position. The positioning effects of different methods on the catheter tip were compared. Result The surgical time of the experimental group was shorter than that of the control group, and the number of punctures, intraoperative catheter adjustments, and X-ray frequency were all less than those of the control group. However, the accuracy was higher than that of the control group, and the differences were significant (P < 0.001). After surgery, The pain score of the experimental group patients was lower than that of the control group, and their quality of life score was higher than that of the control group, with significant differences (P < 0.001). The incidence of complications such as catheter ectopia, puncture site hematoma, infection, pneumothorax, and arrhythmia in the experimental group was significantly lower than that in the control group (P < 0.05). Conclusion The application of intracavitary electrocardiogram positioning technology in infusion port implantation surgery for gastric cancer chemotherapy patients not only reduces the incidence of complications, optimizes intraoperative operation indicators, reduces pain levels, and improves quality of life.

Key words: Intracavitary electrocardiogram localization technology, Gastric cancer, Infusion port implantation