【摘要】 目的探讨植入式静脉输液港3种植入路径的安全性,为最佳静脉输液港植入路径提供证据。方法检索维普、PubMed、Web of Science等数据库中,经颈内静脉、锁骨下静脉、上臂静脉植入静脉输液港的研究。结果纳入文献22篇,共9 193例患者。Meta分析结果显示:颈内静脉组导管异位发生率低于锁骨下静脉组(P<0.001),两组在感染、血栓等并发症发生率差异均无统计学意义(P>0.05);锁骨下静脉组在基座外露发生率低于上臂静脉组(P=0.002),上臂静脉组动脉损伤发生率低于锁骨下静脉组(P=0.03),两组的感染、血栓等并发症发生率差异均无统计学意义(均P>0.05);上臂静脉组与颈内静脉组的感染、血栓等并发症发生率差异均无统计学意义(P>0.05)。结论颈内静脉组并发症发生率低于锁骨下静脉组;上臂静脉组动脉损伤发生率低于锁骨下静脉组,但锁骨下静脉组基座外露发生率低于上臂静脉组,植入途径应首选颈内静脉。更多还原

【Abstract】 Objective To explore the safety of three different implantation pathways in the implanted intravenous infusion port,and to provide evidence for choosing the best implantation pathway. Methods We searched VIP,PubMed,Web of Science,etc.,for articles involving implanting the intravenous infusion port in the internal jugular vein,the subclavian vein,and the upper arm vein. Results A total of 22 articles were selected with 9193 subjects.Meta-analysis showed that:compared with the subclavian vein group,the incidence of catheter displacement was significantly lower in the internal jugular vein group(P<0.001). There were no significant differences in incidence of infection,thrombosis,etc.,between two groups(all P>0.05). Compared with the upper arm vein group,the incidence of foundation exposure was significantly lower(P=0.002) in the subclavian vein group,and artery injury was significantly lower(P=0.03) in the upper arm vein group than the subclavian vein group. However,the differences in incidence of infection,thrombosis,etc.,were not statistically significant between two groups(all P >0.05). The differences in incidence of complications between the upper arm vein group and the internal jugular vein group were not statistically significant(all P>0.05). Conclusion The rates of complications in the internal jugular vein group are lower than those in the subclavian vein group. The incidence of artery injury in the upper arm vein group is lower than the subclavian vein group,however the incidence of foundation exposure in the subclavian vein group is lower than the upper arm vein group. The best implantation pathway is the internal jugular vein.更多还原