经腹胃切开途径放置经皮内镜下胃造口管在晚期喉癌病人中的应用  

Application of Percutaneous Endoscopic Gastrostomy Tube Through Laparotomy in Advanced Laryngocarcinoma Patients

作　　者：佴永军[1] 姚平[1] 王小平[1] 时开网[1] 

机构地区：[1]南京医科大学附属南京第一医院普外科,江苏南京210006

出　　处：《现代生物医学进展》2010年第4期718-719,共2页Progress in Modern Biomedicine

摘　　要：目的:报道在晚期伴食管完全梗阻的喉癌病人中通过经腹胃切开途径成功放置经皮内镜下胃造口管的应用体会。方法:18例喉癌术后复发伴食管完全梗阻的病人,在局麻或硬膜外麻醉下经腹胃切开途径放置经皮內镜下胃造口管,术后行肠内营养支持。结果:16例在局麻下、2例在硬膜外麻醉下成功放置经皮內镜下胃造口管,手术平均时间32.1±5.8分钟,无手术及导管相关性并发症发生。结论:经腹胃切开途径放置经皮內镜下胃造口管是安全、简便及有效的营养支持途径,术后耐受好、易于护理,适合喉癌伴食管完全梗阻病人建立长期营养支持途径的需要。Objective： To report the experience of application of percutaneous endoscopic gastrostomy tube through laparotomy in end stage laryngocarcinoma patients with complete oesophagus obstruction. Methods： Eighteen relapsed end-stage obstructive laryngocarcinoma patients successfully received application of percutaneous endoscopic gastrostomy tube through laparotomy under local anesthesia or epidural anesthesia, and enteral nutrition after operation. Results： Sixteen cases under local anesthesia and two cases under epidural anesthesia successfully underwent the operation, the average operation time was 32.1±5.8 min, and no procedure related complications were observed. Conclusions： Application of percutaneous endoscopic gastrostomy tube through laparotomy is safe, convenient and effective approach of nutrition support, which can be well tolerance and convenient for nursing. It satisfies the need of long term nutrition support in end stage laryngocarcinoma patients with complete oesophagus obstruction.

关 键 词：经皮內镜下胃造口 喉癌 营养支持 

分 类 号：R656.61[医药卫生—外科学]