Application of modified anatomic positioning method in internal jugular vein puncture during critical caesarean section
- VernacularTitle:改良解剖定位法在危重症剖宫产颈内静脉穿刺中的应用
- Author:
Yan-shuang WANG
1
;
Xiang-ming CHE
1
;
Ming-jun XU
1
Author Information
- Publication Type:Journal Article
- Keywords: internal jugular vein; critical cesarean section; regional anatomy; internal jugular vein puncture; rate of success; complication
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(1):76-79
- CountryChina
- Language:Chinese
- Abstract: Objective Based on the local anatomic relationship between right sternocleidomastoid and right internal jugular vein,the application value of modified anatomic positioning method in right internal jugular vein puncture during critical cesarean section was discussed.Methods A total of 360 critical patients who underwent elective operation in obstetrics department of our hospital were selected,all of whom received right internal jugular vein puncture. According to different puncture approaches,they were divided into the observation group (punctured by modified anatomic positioning method) and the control group (punctured by traditional middle approach method),with 180 cases in each group. The differences in the success rate of one-time puncture,the overall success rate of puncture and the failure rate of guide wire implantation were compared between the two groups. The incidence of complications such as misplacement into the artery,artery hematoma,hemopneumothorax,arrhythmia and brachial plexus injury were compared in the two groups. Results The success rate of one-time puncture and overall success rate of puncture in the observation group were significantly higher than those in the control group,and the differences were statistically significant (P<0.05). The failure rate of guide wire implantation in the observation group was lower than that in the control group,and the difference was statistically significant (P<0.05). The incidences of misplacement into the artery and artery hematoma in the observation group were significantly lower than those in the control group,and the differences were statistically significant (P<0.05). No complications such as hemopneumothorax,arrhythmia or brachial plexus injury occurred in the two groups. Conclusion Compared with the traditional middle approach method puncture,the modified anatomic positioning method puncture has the advantages of higher puncture success rate,fewer complications and higher safety.
