经皮胃造瘘术在治疗恶性肿瘤所致继发性吞咽困难中的应用  

Clinical application of percutaneous fluoroscopic gastrostomy in the treatment of secondary dysphagia caused by malignancy

作　　者：易小宇[1] 何伟[2] 余雷[1] 

机构地区：[1]广西壮族自治区人民医院肿瘤中心介入病区,南宁530021 [2]贵州省肿瘤医院介入科,550000

出　　处：《影像诊断与介入放射学》2013年第2期129-132,共4页Diagnostic Imaging & Interventional Radiology

摘　　要：目的分析经皮胃造瘘术在治疗恶性肿瘤所致继发性吞咽困难中的应用。方法选择15例因头颈部恶性肿瘤导致无法进食、胃肠功能仍存在、需依赖静脉内营养患者,在局麻下行透视下经皮胃造瘘术。结果 15例均操作成功,1例术后出现严重并发症,3例出现轻微并发症,经处理后恢复正常。15例患者术后均摆脱静脉内营养,行肠内营养支持,明显提高生活质量。结论透视下经皮胃造瘘术操作简单、易行,并发症可控可处理,特别适用于头颈部恶性肿瘤所致进食困难的患者。Objective To summarize the clinical experience of percutaneous fluoroscopic gastrostomy （PFG） in the treatment of secondal＇y dysphagia caused by malignancy. Methods Fifteen head and neck cancer patients with swallowing disorders （12 men, 3 women ; age range： 48-76 years ; mean： 54 years） underwent PFG. Radiopaqne gastrostomy feeding catheter was placed with Seldinger technique under fluoroscopic guidance. Results All patients had technically successful placement of PFG tubes. One patient had serious complications and three patients had minor complications, which resolved after treatment. Parenteral nutrition was no longer required in all patients. Conclusions PEG is a safe, effective and minimally-invasive procedure for nutrition support therapy in head and neck cancer patients with swallowing disorders.

关 键 词：胃造瘘 恶性肿瘤 肠内营养 

分 类 号：R739.91[医药卫生—肿瘤]