论文部分内容阅读
自1992年5月～1993年2月,作者在荧光镜引导下,对33例妇科肿瘤病人作了Groshong导管插入术。病人平均年龄58岁(42～78岁),包括卵巢癌16例,子宫内膜癌6例,宫颈癌5例,其他妇科恶性肿瘤3例。15例导管用于化疗,14例用作输液,1例用于疼痛控制。 操作在放射科内进行,选用带倾斜手术台的荧光镜检查系统。病人取轻度垂头仰卧位以增加锁骨下静脉直径。首先用荧光镜选择一个1～2cm的从侧面进入锁骨与第一肋骨间的位点,通常选择右锁骨下静脉。用Cook微型穿刺装置的21号单壁穿刺针头置入锁骨下静脉,注入少量显示剂,以明确穿刺部位是否合适,从侧面穿刺进入锁骨与第一肋骨间的穿刺点。为确保位置合适,在荧光镜下将0.018英吋
From May 1992 to February 1993, under fluoroscopic guidance, the authors performed Groshong catheterization on 33 patients with gynecologic oncology. The average age of patients was 58 years old (42-78 years old), including 16 cases of ovarian cancer, 6 cases of endometrial cancer, 5 cases of cervical cancer and 3 cases of other gynecological malignancies. Fifteen catheters were used for chemotherapy, 14 for infusion, and one for pain control. Operation carried out in the Department of Radiology, the selection of the operating table with a tilt of the fluoroscopy system. Patient taken light supine supine position to increase subclavian vein diameter. First use fluoroscopy to select a 1 ~ 2cm from the side into the site between the clavicle and the first rib, usually select the right subclavian vein. Use Cook mini-puncture device No. 21 single-wall puncture needle into the subclavian vein, inject a small amount of display agent to determine the puncture site is appropriate, from the side of the puncture into the collarbone and the first rib puncture point. To ensure the proper position, 0.018 inch under the fluoroscope