经皮内镜引流性胃造瘘在肿瘤性肠道梗阻姑息性治疗中的应用  

Transcutaneous endoscopic palliative venting gastrostomy for malignant intestinal obstruction

作　　者：杨佳 王继亮[2] 周豪 刘博[2] 刘科[2] 曹恒[2] 史建国[2] 蒋文[2] 蔡开琳[2] 

机构地区：[1]武汉中心医院胃肠痔瘘外科,武汉430014 [2]华中科技大学同济医学院附属协和医院胃肠外科

出　　处：《腹部外科》2015年第3期182-184,共3页Journal of Abdominal Surgery

摘　　要：目的 探讨经皮内镜引流性胃造瘘术（pallivative venting gastrostomy,PVG）在晚期肿瘤腹腔转移导致的肠道梗阻减压治疗中的临床价值.方法 回顾分析2008年3月至2010年12月间收治的42例病例资料,随访时间为1年或直至死亡.结果 22例行PVG,21例成功,其中20例术后恶心呕吐及腹痛症状得到不同程度缓解并出院,14例家中营养支持治疗至终末.与常规鼻胃管减压方法治疗的20例相比较,PVG能有效缓解症状（P＜0.05）,且Visick分级显示病人更能耐受PVG（P＜0.01）.结论 PVG能有效缓解症状且耐受性好,并能为病人及其家庭带来诸多方面的利益,值得条件适宜者施行.Objective To explore the clinical value of transcutaneous endoscopic palliative venting gastrostomy （PVG） for malignant intestinal obstruction. Methods Forty-two cases of malignant intesti- nal obstruction were subjected to transcutaneous endoscopic PVG between March 2008 and December 2011, and the outcomes were reviewed retrospectively. Results Of 21 （total 22） cases successfully treated with PVG, 20 cases obtained relief of the symptoms of nausea, vomiting and abdominal pain, and then discharge＆ As compare with nasogastric tube, the PVG, relieves the distension effectively. Moreover, PVG was significantly tolerable by Visick grading. Conclusions PVG was feasible in cases of malignant intestinal obstruction and more effective and tolerable than nasogastric tube.

关 键 词：经皮内镜引流性胃造瘘术 胃肠道梗阻 晚期肿瘤 

分 类 号：R605[医药卫生—外科学]