CT引导下经皮胃造口术的临床应用  

Clinical application of CT-guided percutaneous gastrostomy

作　　者：姚全军[1,2] 胡鸿涛[1,2] 黎海亮[1,2] 郭晨阳[1,2] 耿翔[1,2] 李亚楠[1,2] 

机构地区：[1]河南省肿瘤医院 [2]郑州大学附属肿瘤医院放射科,河南郑州450008

出　　处：《中国医学影像技术》2015年第8期1242-1245,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的探讨CT引导下经皮胃造口术的短期疗效和安全性。方法回顾性分析16例接受CT引导下经皮胃造口术的吞咽困难患者资料。结果 CT引导下经皮胃造口术成功率为100%（16/16）,千叶针穿刺胃腔共18次,手术时间25~45min,平均（32.81±2.56）min。术后8天、1个月、3个月血清白蛋白（ALB）、前白蛋白（PA）、淋巴细胞计数（TLC）较术前明显升高（P均〈0.05）。并发症发生率为20.31%（3/16）。胃造口渗液2例,胃造口感染1例,经对症治疗均痊愈。结论 CT引导经皮胃造口术可行、有效,短期内可提供充足的肠内营养,且并发症少。Objective To investigate the short-term effect and safety of CT-guided percutaneous gastrostomy. Methods A retrospective analysis of 16 patients underwent CT-guided percutaneous gastrostomy was performed. Results The suc- cess ratio of CT-guided percutaneous gastrostomy was 100% （16/16）. Totally 18 times of gastral cavity puncture were done. The time of operation was from 25 to 45 minutes, and the mean was （32.81±2.56）min. The levels of the albumin （ALB）, prealbumin （PA） and lymphocyte count （TLC） 8 days, 1 and 3 months after CT-guided pereutaneous gastrostomy were significantly higher than those before operation （all P〈0.05）. The rate of complication was 20.31 % （3/16）. There were 2 cases of extravasation from the gastrostomize and 1 case of infection. All of 3 patients with complications were healed after internal medicine treatment. Conclusion CT-guided percutaneous gastrostomy may be practical and effective to provide plenty of enteral nutrition in the short-term with fewer complications.

关 键 词：体层摄影术 X线计算机 胃造口术 安全性 

分 类 号：R814.42[医药卫生—影像医学与核医学] R459.9[医药卫生—放射医学]