53例内镜下胃造瘘术后并发症情况及防治的回顾性分析  

A retrospective analysis of complications of 53 cases with PEG and the preventive measures

作　　者：谭涛[1] 叶晓芬[1] 任萌[1] 徐发莹[2] 

机构地区：[1]武警浙江总队杭州医院,浙江杭州310051 [2]杭州医学院,浙江杭州310053

出　　处：《浙江医学教育》2016年第3期48-50,共3页Zhejiang Medical Education

摘　　要：目的:总结分析胃造瘘术的并发症发生情况,为提高手术成功率、减少术后并发症提供实证依据。方法:回顾性分析53例胃造瘘手术术后并发症发生情况以及处理方法。结果:53例均顺利完成胃造瘘手术,其中26例患者术后出现感染、造瘘管堵塞、断裂等并发症,经及时处理均取得较好的临床效果。结论:尽管胃造瘘术是一项简单、安全的手术方法,但术后仍有部分患者发生术后并发症。临床医生需充分做好术前评估,加强术后观察,同时对护理人员和家属进行正确的宣教,从而提高手术成功率,减少并发症。[Objective]To provide evidence for improving the surgical success rate and reducing complications,by summarizing and discussing the complications after PEG operation. [Method]The clinical data of 53 cases with PEG and the preventive measures were retrospectively reviewed.[Result]All PEG insertion can be performed successfully. Complications occurred in 26 cases,such as infection,break and blockage of fistula. The problems can be managed efficaciously after treatment. [Conclusion]Although PEG is simple and safe,there are some complications occurred. Clinical doctors should do lots of preoperative and postoperative work and instruction work to raise success and reduce complications.

关 键 词：胃造瘘术 并发症 防治措施 

分 类 号：R57[医药卫生—消化系统]