CT引导下经皮胃造瘘术专家共识(2025版)  

Expert consensus on CT-guided percutaneous gastrostomy(2025 edition)

作　　者：中国医师协会介入医师分会 黄学全 王忠敏[3] 牟玮 罗小平[5] 何闯 刘丽 刘云 Chinese College of Interventionalists,Chinese Medical Doctor Association;Huan Xuequan;Wang Zhongmin(不详;Minimally Invasive Intervention Center,The First Affiliated Hospital of Army Medical University,Chongqing 400038,China;Department of Radiology Intervention,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China)

机构地区：[1]不详 [2]陆军军医大学第一附属医院微创介入中心,重庆400038 [3]上海交通大学医学院附属瑞金医院放射介入科,上海200025 [4]重庆松山医院介入科 [5]重庆医科大学第二附属医院放射科 [6]陆军特色医学中心肿瘤科

出　　处：《中华消化外科杂志》2025年第3期301-309,共9页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(52275015)。

摘　　要：经皮胃造瘘术是一种专为无法经口进食但需要长期营养支持患者设计的微创手术方法。CT引导下经皮胃造瘘术利用CT的高密度分辨率和任意平面重组技术,可清晰显示胃与周围组织的解剖关系,帮助精确规划穿刺路径,避免对周围血管、脏器等结构的损伤,降低手术风险和并发症发生率,已成为临床实践中的主流技术。中国医师协会介入医师分会组织多学科领域专家联合制订《CT引导下经皮胃造瘘术专家共识(2025版)》,汇总国内外最新临床研究证据和实践经验,以期规范CT引导下经皮胃造瘘技术,为临床医师提供系统、权威指导,提高手术疗效和安全性。Percutaneous gastrostomy is a minimally invasive surgical procedure designed for patients who require long-term nutritional support but cannot ingest food orally.Computed tomography(CT)-guided percutaneous gastrostomy,leveraging the high-density resolution and multiplanar reconstruction capabilities of CT imaging,enables clear visualization of the anatomical relationships between the stomach and adjacent structures.This technique facilitates precise planning of puncture pathways,minimizes injury to surrounding blood vessels and organs,reduces surgical risks,and lowers complication rates.As a result,it has become the mainstream approach in clinical practice.The Chinese College of Interventionalists of Chinese Medical Doctor Association has organized multidisciplinary experts to jointly develop the Expert Consensus on CT‐guided Percutaneous Gastrostomy(2025 Edition).This consensus synthesizes the latest clinical research evidence and practical experiences from both domestic and international sources,aiming to standardize CT-guided percutaneous gastrostomy techniques,provide clinicians with systematic,comprehensive,and authoritative guidance,and enhance procedural efficacy and safety.

关 键 词：营养支持 CT引导 胃造瘘术 专家共识 适应证 

分 类 号：R656.6[医药卫生—外科学]