在内镜或影像引导下建立微创介入途径实现肠内营养  

The establishment of enteral nutrition with minimally-invasive interventional procedure under endoscopic or imaging guidance

作　　者：李烽[1] 程英升[2] 

机构地区：[1]上海交通大学附属第六人民医院放射科,200233 [2]同济大学附属第十人民医院影像临床医学中心

出　　处：《介入放射学杂志》2010年第1期79-82,共4页Journal of Interventional Radiology

摘　　要：对不能经口进食维持营养的患者,过去一直尝试用多种不同的方法进行胃造瘘置管,包括外科手术。内镜下以及近年来新发展起来经皮影像引导等方法,不管是经内镜还是经影像进行胃造瘘置管都优于外科手术置管,这些操作减少创伤,降低费用和并发症发生率等。在一定的临床条件下,经内镜或是经影像方法引导都是可行的。本文对经内镜和经皮影像下胃肠造瘘术建立肠内营养的适应证、技术方法及两者的优缺点进行综述。For patients unable to get the necessary nutrition orally, a variety of techniques, including surgical way, to make gastrostomy with tube placement have been employed. For recent years, gastrostomy and tube placement with the help of endoscopic guidance or percutaneous interventional management has been developed, which is superior to surgical procedure in minimizing injuries, decreasing cost and reducing complications. In certain clinical situations, both endoscopic method and inlerventional method can be employed. This paper aims to make a comprehensive review of the indications, techniques and skills, advantages and disadvantages of both the endoscopy-guided and the imaging-guided percutaneous gastrojejunostomy for the establishment of enteral nutrition.

关 键 词：肠内营养 经皮胃造瘘术 经皮小肠造瘘术 直接经皮小肠造瘘术 

分 类 号：R459.3[医药卫生—治疗学]