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

摘要：

目的 对比乳腺癌患者上臂输液港和胸壁输液港的优势和缺点。方法 回顾性分析2017年4月—2018年4月在某三级甲等医院乳腺疾病中心接受中心静脉输液港植入的乳腺癌病例随访资料,比较植入上臂输液港和胸壁输液港患者的2种手术方式在手术时间、术后并发症发生率及生活质量等指标。结果 共纳入中心静脉输液港植入患者171例,其中经上臂植入中心静脉输液港95例,经胸壁植入中心静脉输液港76例。无失败病例,两组手术时间比较,差异无统计学意义（t=0.164,P=0.870）。截至随访日,上臂输液港组并发症发生率为7.9%,胸壁输液港组并发症发生率为7.4%,两组并发症发生率比较,差异无统计学意义（χ ²=0.164,P=0.897）。两组生活质量各维度得分比较,差异无统计学意义（P>0.05）。结论 上臂输液港不增加并发症发生率,可保证乳腺癌化疗患者生活质量。临床应综合评估患者化疗周期、血管条件、患者自我需求后选择输液港植入部位。

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