26. ĐÁNH GIÁ KẾT QUẢ ĐẶT BUỒNG TIÊM DƯỚI DA DƯỚI HƯỚNG DẪN CỦA SIÊU ÂM VÀ HIỆU QUẢ SỬ DỤNG TẠI BỆNH VIỆN UNG BƯỚU THÀNH PHỐ CẦN THƠ
Nội dung chính của bài viết
Tóm tắt
Subject and methods: A prospective cross-sectional descriptive study of 51 cancer patients who underwent ultrasound-guided subcutaneous port chamber implantation between April 2024 and December 2024 at Can Tho City Oncology Hospital was conducted.
Objective: Evaluate the results of performing the procedure of placing a subcutaneous injection chamber under ultrasound guidance and the effectiveness of using chemotherapy for cancer patients.
Subjects and methods: Cross-sectional prospective study of 51 cancer patients, placed in an infusion chamber under ultrasound guidance from April 2024 to December 2024 at Can Tho Oncology Hospital.
Results: Female/male ratio was 9.2/1, average age was 53.33 years old. The average procedure time was 30 minutes, with 68.6% of catheters placed in the right internal jugular vein. The successful placement rate in 1 needle puncture under ultrasound was 98%, in 1 case a second needle puncture was required because the venous malformation could not be proactively identified before the procedure. Complication rate was 2%, no late complications were recorded. After an average follow-up of 4.24 months, 98% of patients were satisfied with the effectiveness of using the injection chamber.
Conclusions: Placing the subcutaneous injection chamber under ultrasound guidance is a safe procedure with few complications, not only achieving patient satisfaction but also improving the patient’s quality of life when used in chemotherapy. The subcutaneous injection chamber should be placed under ultrasound guidance into the right internal jugular vein site for cancer patients.
Chi tiết bài viết
Từ khóa
Buồng tiêm dưới da, hướng dẫn của siêu âm, tĩnh mạch cảnh trong, hóa trị
Tài liệu tham khảo
[2] Dridi M et al, Implantable port thrombosis in cancer patients: a monocentric experience, Cancer biology & medicine, 2016, 13 (3): 384.
[3] Schwarz R.E et al, Subcutaneously implanted central venous access devices in cancer patients: a prospective analysis, Cancer, 1997, 79 (8): 1635-1640.
[4] Trương Tấn Phú, Nguyễn Bảo Anh, Nguyễn Trần Chí Trung và cộng sự, Đánh giá kết quả đặt buồng tiêm dưới da dưới hướng dẫn của siêu âm và số hóa xóa nền cho người bệnh ung thư tại Bệnh viện Quân y 103, Tạp chí Y học Việt Nam, 2024, 541 (2).
[5] D’souza P.C et al, Complications and management of totally implantable central venous access ports in cancer patients at a university hospital in Oman, Sultan Qaboos University Medical Journal, 2021, 21 (1): e103.
[6] Ignatov A et al, An 11-year retrospective study of totally implanted central venous access ports: complications and patient satisfaction, European Journal of Surgical Oncology (EJSO), 2009, 35 (3): 241-246.
[7] Guan X et al, Risk factors of infection of totally implantable venous access port: a retrospective study, The Journal of Vascular Access, 2023, 24 (6): 1340-1348.
[8] Nguyễn Thị Hồng Vân, Đánh giá kết quả sử dụng buồng tiêm truyền dưới da trên bệnh nhân ung thư truyền hóa chất tĩnh mạch tại Bệnh viện Ung bướu Hà Nội năm 2015-2016, Tạp chí Ung thư học Việt Nam, 2016, (5): tr. 215.