经皮内镜下胃造瘘术在吞咽障碍患者中的临床应用  

Clinical application of percutaneous endoscopic gastrostomy in dysphagia patients

作　　者：胡杨[1] 刘朝霞[1] 傅念[1] 阳学风[1] 吴清[1] 

机构地区：[1]南华大学附属南华医院消化内科,湖南衡阳421002

出　　处：《中国医药导报》2013年第29期44-46,共3页China Medical Herald

基　　金：湖南省科技厅科研条件创新专项立项项目(编号2010TT1008)

摘　　要：目的评估经皮内镜下胃造瘘术(PEG)在吞咽障碍患者中的临床应用以及安全性。方法回顾性分析南华大学附属南华医院收治的18例吞咽障碍患者,对其实施PEG,观察其临床疗效及并发症情况。结果成功实施PEG 18例,平均耗时15 min。经造瘘管饲后,患者的营养状态明显改善。2例患者造瘘管局部出现红肿和脓性分泌物,1例患者造瘘管周围肉芽组织过度生长。此外未出现造瘘管脱出、坏死性筋膜炎、腹膜炎、胃肠穿孔及吸入性肺炎等严重并发症。结论 PEG对于吞咽困难的患者来说是一种安全有效的肠内营养方法。Objective To evaluate the clinical application and security of percutaneous endoscopic gastrostomy （PEG） in dysphagia patients. Methods The clinical data for 18 cases of dysphagial patients implemented with PEG in the Affiliated Nanhua Hospital of University of South China were retrospectively analyzed, the clinic effect and the complication were observed. Results 18 cases were performed with PEG successfully, the average time was 15 rain. The nutritional status of patients improved significantly after fistula feeding. Red swelling and purulent secretion occurred in 2 patients, the skin granulation hyperplasia around fistula in 1 patient. No severe complications happened such as prolapse of tube, neerotizing fasciitis, peritonitis, gastrointestinal perforation and aspiration pneumonia. Conclusion Pereutaneous endoscopic gastrostomy is a safe and effective method of enteral nutrition for dysphagia patients.

关 键 词：经皮内镜下胃造瘘术 吞咽障碍 临床疗效 

分 类 号：R656.6[医药卫生—外科学]