Abstract: 【Abstract】 Objective〓To summarize up the effect of totally implantable venous access ports (TIVAP) implanted via internal jugular vein on chemotherapy for breast cancers. Methods〓A retrospective review was conducted on 96 patients undergoing a TIVAP implantation for breast cancer chemotherapy at our hospital from June 2013 to December 2015. Surgical and long-term complications were analyzed. Results〓All TIVAPs were implanted successfully. There were one case of cardiac arrhythmia, one case of hematoma, two case of pneumothorax, two cases of catheter occlusion, three case of catheter-related infection and one case of catheter rupture. The patients were followed up for a median of 15 months (4-30 months). TIVAP worked well without leakage, pneumothorax, infection, or pinch-off syndrome. Conclusion〓Implanting totally implantable venous access port via the internal jugular vein is feasible and safe in patients with breast cancer.

Key words: Internal jugular vein, Totally implantable venous access port, Breast cancer

摘要： 【摘要】 目的 总结经颈内静脉放置全植入式输液港(TIVAP)作为乳腺癌化疗静脉输液通路的使用经验。方法〓对2013年6月~2015年12月486例行输液港植入术的乳腺癌化疗患者进行回顾性研究,观察其术后及远期并发症。结果〓全部病例均在术中成功完成输液港植入。l例出现心悸不适,2例穿刺点周围局部血肿,1例囊袋内港体周围血肿,2例气胸,3例导管相关性感染,2例导管堵塞,1例导管断裂。至末次随访,65例带管时间4~30个月,中位带管时间15个月。本组未出现导丝断裂、pinch-off综合征等严重并发症。结论〓经颈内静脉放置全植入式输液港是乳腺癌化疗安全、有效的输液途径。

关键词: 乳腺癌, 颈内静脉, 完全植入式输液港