Exploration Of Feasibility Of Ultrasound-Guided For Implantation Of Totally Implantable Venous Access Port Via The Axillary Vein

Obiective:This study aims to explore the feasibility and safety of ultrasound-guided for implantation of totally implantable venous access port via the axillary vein.Method:A total of 40 patients with a need for intravenous totally implantable venous access port implantation were prospectually enrolled as study subjects,and the enrolled patients were randomly divided into experimental group(n = 20)and control group(n = 20).The experimental group received ultrasound guided totally implantable venous access port implantation through the axillary vein,and the control group received ultrasound guided internal jugular vein implantation.The intraoperative and postoperative follow-up data of the two groups were collected and recorded,and the puncture success rate,operation duration,postoperative complications and patient satisfaction were compared between the two groups.Results:1.The total puncture success rates(100%)and the first puncture success rates(95%)of the experimental group and the control group were consistent,and there was no significant difference(P=1.000).Both groups had a higher success rates under the guidance of ultrasound.2.The operative time of experimental group was 26.35±1.17 min,and that of control group was 27.94±1.70 min.The operative time of experimental group was shorter than that of control group,and the difference was statistically significant(P=0.002).3.There were no complications in the experimental group,2 cases(10%),1 case of thrombus and 1 case of subcutaneous hemorrhage in the control group,but the difference was not statistically significant(P=0.400).4.The satisfaction of patients in the experimental group was 95% and that of patients in the control group was 85%,but the difference was not statistically significant(P=0.698).The factors affecting the satisfaction were complications,neck pulling sensation and aesthetic degree.Conclusion:Ultrasound-guided for implantation of Totally Implantable Venous Access Port via the axillary vein has a high success rate,fewer complications and high patient satisfaction.This surgery has potential value in clinic.But,it needs to be verified in large sample tiral.