目的    探讨植入式静脉输液港的植入手术方式与方法。方法    回顾性分析2008年12月至2013年4月河北医科大学第四医院2007例成人静脉输液港植入术的病例资料。结果    2007例中经颈内静脉穿刺1828例（91.2%），其中经左颈内静脉穿刺789例，经右颈内静脉穿刺1039例；经锁骨下静脉穿刺179例（8.9%），其中经左锁骨下静脉穿刺77例，经右锁骨下静脉102例。发生植入时并发症12例（0.6%）；无死亡病例发生。结论    植入静脉输液港时应选择合适的植入方法，明确操作流程，严格规范各操作步骤，可有效防止术中及术后并发症的出现。

Application experience of implantable vascular access devices：An analysis of  2007 patients        ZHOU Tao, TANG Tian-tian, GENG Cui-zhi, et al. Breast Center, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
Corresponding author: LI Hai-ping, E-mail: haiping8880@hotmail.com
Abstract    Objective    To explore the surgical way and method of the implantable vascular access devices. Methods The different operative techniques and methods of 2007 adult patients with the implantable vascular access devices performed between December 2008 and April 2013 in the Fourth Hospital of Hebei Medical University were analyzed retrospectively. Results A total of 1828 patients (91.2%) were internal jugular vein punctured in 2007 patients, including 789 patients via left internal jugular vein punctured and 1039 patients via right internal jugular vein punctured. There were 179 patients (8.8%) via subclavian vein punctured, including 77 patients via left subclavian vein and 102 patients via right subclavian vein. The implant complications occurred in 12 patients (0.60%). There was no death in the group. Conclusion    The intraoperative and postoperative complications can be effectively prevented by choosing appropriate implant method, definituding the operation process and regulating strictly the operation steps.