|本期目录/Table of Contents|

[1]刘怡男,范学武,田龙.两种耐高压型经外周静脉穿刺置入中心静脉导管尖端定位技术临床对照研究[J].医学研究与战创伤救治(原医学研究生学报),2022,24(6):586-589.[doi:10.3969/j.issn.1672-271X.2022.06.006]
　LIU Yi-nan,FAN Xue-wu,TIAN Long.Clinical comparative study of two high pressure resistant peripherally inserted central catheter tip positioning techniques[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2022,24(6):586-589.[doi:10.3969/j.issn.1672-271X.2022.06.006]
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两种耐高压型经外周静脉穿刺置入中心静脉导管尖端定位技术临床对照研究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第24卷
期数:
2022年6期
页码:
586-589
栏目:
临床研究
出版日期:
2023-01-18

文章信息/Info

Title:
Clinical comparative study of two high pressure resistant peripherally inserted central catheter tip positioning techniques
作者:
刘怡男; 范学武; 田龙
作者单位：075000张家口，河北北方学院附属第一医院放疗科（刘怡男、田龙）；050000 石家庄，河北省人民医院导管室（范学武）
Author(s):
LIU Yi-nan1;  FAN Xue-wu2;  TIAN Long1
(1.Department of Radiotherapy, the First Affiliated Hospital of Hebei Northern University, Zhangjiakou 075000, Hebei, China; 2. Cardiology Catheter Room, Hebei General Hospital, Shijiazhuang 050000, Hebei, China)
关键词:
耐高压型经外周静脉穿刺置入中心静脉导管; 尖端定位; 计算机断层扫描; C型臂X线
Keywords:
high pressure resistant-peripherally inserted central catheter;  tip positioning;  computed tomography;  C-arm X-ray
分类号:
R812；R472.3
DOI:
10.3969/j.issn.1672-271X.2022.06.006
文献标志码:
A
摘要:
目的比较基于CT和C型臂X线（CX）的两种耐高压型经外周静脉穿刺置入中心静脉导管（HPR-PICC）尖端定位技术。方法选取2018年6月-2021年9月于河北北方学院附属第一医院放疗科接受诊疗的胸部肿瘤患者101例。采用自身对照法，比较基于CT和CX的HPR-PICC尖端定位的图像质量、异位检出能力和影像学距离一致性。结果85例（84.16%）患者CT图像上HPR-PICC尖端完全显示，14例（13.86%）不完全显示，2例（1.98%）完全不显示；54例（53.47%）患者CX图像上HPR-PICC尖端完全显示，39例（38.61%）不完全显示，8例（7.92%）完全不显示。排除掉尖端完全不显示的患者后，剩余患者中CT技术总异位检出率和右心系统异位检出率均高于CX技术（P＜0.05）。进一步排除掉尖端不完全显示的患者后，CT图像上右肺门-上腔静脉与右心房连接处距离为（8.351±5.262）mm，CX图像为（8.497±5.731）mm，一致性较好；CT图像上右肺门-尖端距离为（8.012±4.978）mm，CX图像为（8.331±5.395）mm，一致性较好。结论HPR-PICC尖端定位中CT图像质量和异位检出能力均显著优于CX图像，两种图像上影像学距离一致性较好，CT可取代X线作为金标准。
Abstract:
ObjectiveTo compare two kinds of highpressure resistant peripherally inserted central catheter (HPR-PICC) tip positioning techniques based on CT and C-arm X-ray (CX).Methods101 tumor patients who met the inclusion-exclusion criteria were selected. Image quality, ectopic detection ability and imaging distance consistency of HPR-PICC tip positioning based on CT and CX were compared by using self-control method.ResultsThe tip of HPR-PICC was completely displayed on CT image for 85 (84.16%) patients, 14 (13.86%) was incompletely displayed, and 2 (1.98%) was not displayed. The tip of HPR-PICC was completely displayed on CX image for 54 (53.47%) patients, 39 (38.61%) was incompletely displayed, and 8 (7.92%) did no appear After excluding patients whose tips were not displayed, the ectopic totaldetection rate and right cardiac system ectopic detection rate in the remaining patients with CT technology were higher than that with CX technology (P<0.05). After further excluding patients whose tips were incomplete displayed, the distance between the right hilar and caval-atrial junction was (8.351±5.262) mm on CT images and (8.497±5.731) mm on CX images, with fairly good consistency. The distance between the right hilar and tip was (8.012±4.978) mm on CT images and (8.331±5.395) mm on CX images, with fairly satisfactory consistency.ConclusionCT image quality and ectopic detection ability was significantly better than CX images in HPR-PICC tip positioning. Consistency of imaging distance on the two images was fairly good, and CT could replace X-ray as the gold standard.

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备注/Memo

备注/Memo:
基金项目：张家口市重点研发计划项目（1921002B）
更新日期/Last Update: 2023-01-18