DSA机引导下经皮胃造瘘术治疗吞咽困难患者  

DSA Guided Percutaneous Gastrostomy for the Treatment of Patients with Dysphagia

作　　者：彭建扬[1] 张春生[1] 翁志成[1] 吴伟达[1] 高洪斌 PENG Jianyang;ZHANG Chunsheng;WENG Zhicheng;WU Weida;GAO Hongbin(Interventional Department,The Affiliated Hospital of Putian University,Putian Fujian 351100,China)

机构地区：[1]莆田学院附属医院介入科,福建莆田351100

出　　处：《莆田学院学报》2024年第2期34-38,共5页Journal of putian University

基　　金：福建省自然科学基金资助项目(2018J01189)。

摘　　要：回顾性分析莆田学院附属医院2018年5月—2022年5月利用数字减影血管造影(DSA)机引导行经皮胃造瘘术治疗41例吞咽困难患者的情况,统计分析手术成功率、并发症发生率及术前3 d、术后30 d、术后90 d患者的白蛋白(ALB)、总蛋白(TP)、前白蛋白(PA)、体重等指标,探讨DSA机引导下经皮胃造瘘术(Introducer法)治疗吞咽困难患者的安全性和有效性。结果表明,对41例患者实施DSA机引导下经皮胃造瘘术(Introducer法)均获得成功;3例患者出现并发症,并发症发生率为7.32%;术前3 d与术后30 d比较,患者的ALB、TP、PA、体重差异显著(P<0.05);术后30 d与术后90 d比较,各指标差异无统计学意义(P>0.05)。说明DSA机引导下经皮胃造瘘术(Introducer法)成功率高,并发症发生率低,可以提高吞咽困难患者术后的营养指标,有较高的临床应用价值。The clinical data of 41 patients with dysphagia treated by percutaneous gastrostomy under the guidance of digital subtraction angiography(DSA)in The Affiliated Hospital of Putian University from May 2018 to may 2022 were retrospectively analyzed.The success rate of operation,the incidence of complications,albumin(ALB),total protein(TP),prealbumin(PA),body weight and other indicators of patients 3 days before operation,30 days after operation and 90 days after operation were statistically analyzed,and the safety and effectiveness of DSA guided percutaneous gastrostomy(introducer method)in the treatment of dysphagia were discussed.The results shows that percutaneous gastrostomy(introducer method)guided by DSA machine was successful in 41 patients;Complications occurred in 3 patients,and the incidence of complications was 7.32%;There were significant differences in ALB,TP,PA and body weight between 3 days before operation and 30 days after operation(P<0.05);There was no significant difference in each index between 30 days and 90 days after operation(P>0.05).It shows that DSA guided percutaneous gastrostomy(introducer method)has high success rate and low incidence of complications,which can improve the postoperative nutritional indicators of patients with dysphagia,and has high clinical application value.

关 键 词：数字减影血管造影 胃造瘘术 吞咽困难 

分 类 号：R656.6[医药卫生—外科学]