经皮内镜下胃/空肠造口术在晚期癌性肠梗阻中的应用  

Clinical application of percutaneous endoscopic gastrostomy or jejunostomy in the treatment of advanced malignant intestinal obstruction

作　　者：汪志明[1] 江志伟[1] 刁艳青[1] 丁凯[1] 吴素梅[1] 李宁[1] 黎介寿[1] 

机构地区：[1]南京军区南京总医院解放军普通外科研究所,南京210002

出　　处：《临床肿瘤学杂志》2008年第2期144-146,共3页Chinese Clinical Oncology

摘　　要：目的：研究经皮内镜下胃／空肠造口术（ percutaneous endoscopic gastrostomy or jejunostomy, PEG/PEJ ）在晚期癌性肠梗阻患者应用的可行性、疗效和并发症。方法：83例晚期癌性肠梗阻患者接受PEG/PEJ，观察置管的时间、成功率、并发症及疗效。结果：PEG操作时间为（7．4±2．0）min，PEJ为（18．7±3．7）min。技术操作成功率为95．4％（83／87），置管顺利，置管后并发症发生率为6．0％（5／83），均为操作切口的局部感染，留置时间为（135．7±109．3）d，每日经PEG／PEJ管引流胃肠液约150—1600ml，所有患者都拔除了鼻胃管，显著改善了生活质量。结论：PEG／PEJ具有操作简便、快捷、安全、患者痛苦少、易于耐受、可长期带管等优点，可以代替鼻胃管进行胃肠减压。Objective：To investigate the usage of percutaneous endoscopic gastrostomy or jejunostomy （PEG/J） in advanced malignancy intestinal obstruction. Methods：From July, 2001 to February, 2007,83 patients received percutaneous endoscopic gastrostomy/jejunostomy, including 45 males and 38 females. The duration, successful rate, complications and effectiveness of this procedure were recorded. Results ： Tubes were successfully placed in 95.4% （ 83/87 ） cases within an average time of （ 7.4±2.0 ） min in PEG, （18.7 ±3.7 ）min in PEJ. The procedure of the operation were very well. Only 6.0% （5/83） minor complications were found. The working time of the tubes were （ 135.7 ± 109. 3 ） d. PEG/J could drain gastrointestinal fluid about 150 - 1 600ml/d ,replace nasogastric tube, and increase the quality of life significantly. Conclusion：Gastrostomy and jejunostomy tubes placed via the percutaneous endoscopic route were easily handled, effective and safe and seemed to be an effective method for palliating malignancy intestinal obstruction to replace nasogastric tube for gastrointestional drainage.

关 键 词：内镜 经皮 胃/空肠造口 癌性肠梗阻 

分 类 号：R730.56[医药卫生—肿瘤]