目的：探讨超声引导下改良 Seldinger 外周中心静脉置管（PICC）技术与传统置管 PICC 置管技术在乳腺癌化疗中的临床效果。方法：将100例女性乳腺癌且化疗前行 PICC 术进行辅助治疗的女性患者随机等分为试验组和对照组，试验组采用超声引导下改良 Seldinger PICC 置管技术，对照组采用传统 PICC 置管技术，比较两组患者的置管成功率、并发症的发生率以及置管后的舒适度。结果：试验组1次置管成功率和患者置管后舒适度明显高于对照组，而术后穿刺点出血、局部血肿、置管后感染和机械性静脉炎发生率试验组明显低于对照组（ P ＜0．05）。结论：超声引导下改良 Seldinger PICC 置管技术相比于传统置管技术置管成功率高，并发症少，减少患者痛苦，值得临床推广。%Objective:To investigate Seldinger explore the peripherally inserted central catheter(PICC) of ultrasound -guided technology with the traditional technique of PICC catheter clinical effect of chemotherapy in breast cancer.Methods:100 patients and other women with breast cancer and chemotherapy be-fore surgery PICC line adjuvant treatment were randomly divided into experimental group and control group,the experimental group improved the use of ultra-sound -guided Seldinger PICC catheter technology,the control group used traditional PICC catheter technology,catheterization success rate between the two groups of patients,and the incidence of complications after catheterization comfort.Results:The experimental group catheterization success rate with 1 time and patient comfort was significantly higher, and postoperative bleeding puncture,local hematoma after catheter infection and mechanical phlebitis incidence experimental group was significantly lower than the control group (P <0.05).Conclusion:Ultrasound -guided modified Seldinger PICC catheter technology compared to conventional catheter technique catheterization success rate,fewer complications,reduce patient suffering,worthy of promotion.
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