标题：B超引导下塞丁格技术在置管困难患者行PICC中的应用价值

      作者：毛美芬，蒋安婷，奚爱芬
    （苏州大学附属第三医院常州市第一人民医院乳腺外科，江苏 常州 213001）

      卷次： 2013年24卷6期

      【摘要】 目的 探讨B超引导下塞丁格技术在置管困难患者行PICC中的应用价值。方法 选取2012年3~9月
于本院进行非B超引导下塞丁格技术PICC置管的43例置管困难患者为对照组，同期的43例进行B超引导下塞
丁格技术PICC置管患者为观察组，比较两组患者的一次、二次和总置管成功率、出血量、导管末端位置、留置时
间、置管过程和置管后并发症发生率。结果 观察组的一次、二次和总置管成功率均高于对照组，出血量小于对
照组，导管末端位置最佳率高于对照组，留置时间长于对照组，置管过程和置管后并发症发生率均低于对照组，
以上指标P值均＜0.05，差异有统计学意义。结论 B超引导下塞丁格技术在置管困难患者行PICC中的应用价
值更高。

      【关键词】 B超引导下塞丁格技术；置管困难；PICC；应用价值

      【中图分类号】 R61 【文献标识码】 A 【文章编号】 1003—6350（2013）06—0885—02


Study on the application value of B ultrasound-guided seldinger technique for PICC in patients with difficult
indwelling catheter.
MAO Mei-fen, JIANG An-ting, Xi Ai-fen. Department of Breast Surgery, the Third Affiliated
Hospital of Soochow University, the First People's Hospital of Changzhou City, Changzhou 213001, Jiangsu, CHINA

【Abstract】 Objective To study the application value of B ultrasound-guided seldinger technique for PICC in
patients with difficult indwelling catheter. Methods Forty-three patients with difficult indwelling catheter who did
not undergo B ultrasound-guided seldinger technique for PICC in our hospital from March 2012 to September 2012
were selected as the control group, and 43 patients who received B ultrasound-guided seldinger technique for PICC at
the same time were selected as the observation group. Then the one-time success rate, two-time success rate, total suc-
cess rate, blood loss, position of the end of PICC, retention time, incidence of complications during and after the in-
dwelling were compared between the two groups. Results The one-time success rate, two-time success rate, total
success rate in the observation group were all significantly higher than those in the control group, The observation
group also had significantly higher optimal rate of the position of the end of PICC, less blood loss, longer retention
time, and lower incidence of complications, P<0.05. Conclusion B ultrasound-guided seldinger technique has high
application value of for PICC in patients with difficult indwelling catheter.

      【Key words】 B ultrasound-guided seldinger technique; Difficult indwelling catheter; PICC; Application value