晚期恶性肿瘤患者经皮内镜下胃造瘘术及安全性评价  

The Clinical Study of Percutaneous Endoscopic Gastrostomy in Patients with Advanced Tumors

作　　者：王惬[1] 赵锐[1] 周凌霄[1] 包郁[1] 

机构地区：[1]四川省肿瘤医院内镜室,成都610041

出　　处：《肿瘤预防与治疗》2012年第6期373-375,共3页Journal of Cancer Control And Treatment

摘　　要：目的:探讨对需长期肠内营养的晚期恶性肿瘤患者经皮内镜下胃造瘘(percutaneous endoscopic gastrostomy,PEG)的手术方法及安全性。方法:从2011年5月至2012年8月,对36例经口进食困难需要进行肠内营养的晚期恶性肿瘤患者采用经典的经腹壁拉出法行PEG。结果:36例患者全部成功施行PEG,手术顺利,无手术死亡病例,PEG操作时间平均10 min±3 min。术后造瘘管松动脱落发生率2.8%(1/36),经重新安置造瘘管并行周围皮肤缝合固定后未再脱落。造瘘口感染、渗液发生率为5.6%(2/36),经抗感染治疗及造瘘口换药后痊愈。结论:PEG操作简便、安全、有效,适于多种原因不能经口进食的晚期恶性肿瘤患者。Objective： To explore the operation methods and safety of percutaneous endoscopic gastrostomy （PEG） for advanced tumor patients who needed long-term enteral nutrition. Methods： Thirty-six patients with advanced tumor who were difficult to eat through mouth and needed the long-term enteral nutrition received PEG from May 2011 to Aug. 2012. All tubes were installed by traditional pull technique. Results： PEG was successfully carried out in all the 36 cases without operation-related death. The average duration of PEG was（ 10 ± 3 ）min. Postoperative rate of the loose and desquamation of drainage was 2. 8% （ 1/36）, the fistula stayed stable after the relocation and the suture of the surrounding skim hffection and effusion rate of fistnla was 5. 6% （2/36） and the patients＇ condition recovered after accepting anti-inffection treatment and changing the medical prescription of fistnla. Conclusion ： PEG is easily handled, effective and safe, and may be widely used in patients with advanced tumors who can＇ t eat food through mouth.

关 键 词：肠内营养 胃镜 经皮胃造瘘术 

分 类 号：R730.5[医药卫生—肿瘤]