关键词: 乳腺癌, 植入式静脉输液港, 上臂输液港, 贵要静脉, 颈内静脉, 护理

Abstract:

Objective To compare the advantages and disadvantages of upper arm port and chest port in breast cancer patients.Methods Data of patients implanted central venous port from April 2017 to April 2018 at the Breast Disease Center of Peking University First Hospital was retrospectively analyzed. Length of surgery,postoperative complications,and quality of life were compared.Results A total of 171 cases with central venous port implantation were analyzed,including 95 cases of upper arm port and 76 cases of chest port. There was no case of failure. There was no significant difference in length of surgery between two groups（t=0.164,P=0.870）,and no significant difference in the incidence of postoperative complications（χ ²=0.164,P=0.897）,and no difference in all dimensions of quality of life（P>0.05）.Conclusion Upper arm port does not increase rate of complications,can gurantee quality of life for breast cancer patients,which should be promoted. Clinical staffs should help patients choose the best way to implant port based on the treatment duration,vascular condition and needs of patients.

Key words: Breast Cancer, Implantable Venous Access Port, Upper Arm Central Venous Port, Basilic Vein, Internal Jugular Vein, Nursing Care