中华胃肠内镜电子杂志
中華胃腸內鏡電子雜誌
중화위장내경전자잡지
Chinese Journal of Gastrointestinal Endoscopy （Electronic Edition）
2015年
1期
23-27
,共5页
周俊%黄业斌%王志兵%王德贤
週俊%黃業斌%王誌兵%王德賢
주준%황업빈%왕지병%왕덕현
经皮内镜下胃造瘘术%内窥镜检查%胃造口术
經皮內鏡下胃造瘺術%內窺鏡檢查%胃造口術
경피내경하위조루술%내규경검사%위조구술
Percutaneous endoscopic gastrostomy%Endoscopy%Gastrostomy
目的 探讨经皮内镜下胃造瘘术 ( PEG ) 的临床应用经验. 方法 将2007 年1月至2014年12月经北京博爱医院消化科住院行PEG治疗的84例患者纳入本研究,对病历资料、胃镜报告、麻醉记录进行回顾性分析,对人口学资料、诊断、血常规、白蛋白、肌酐、国际标准化比率、并发症等进行比较分析,率的比较用 χ2 检验. 结果 采用牵拉式置管法 ( Pull 法) PEG 共84 例,成功率100%. PEG的常见基础疾病为脑中风、颅脑外伤、缺血缺氧性脑病、头颈部及食管肿瘤. PEG的原因有吞咽困难、反复肺炎发作. 并发症的发生率:消化道出血10 .71%,腹腔内出血2 .38%,造瘘口周围感染率8.33%,气腹5.95%,造瘘口肉芽组织生长过长3.57%,胃潴留2.38%;术后30 d内死亡7 .14%,颅脑疾患组及口咽食道肿瘤组的死亡率、出血、感染、气腹并发症的发生率无统计学差异(P>0.05). 结论 本组PEG病例主要为颅脑疾患、口咽食道肿瘤患者,行PEG的原因为吞咽困难或反复发作的肺炎,PEG主要并发症有出血、感染、气腹.
目的 探討經皮內鏡下胃造瘺術 ( PEG ) 的臨床應用經驗. 方法 將2007 年1月至2014年12月經北京博愛醫院消化科住院行PEG治療的84例患者納入本研究,對病歷資料、胃鏡報告、痳醉記錄進行迴顧性分析,對人口學資料、診斷、血常規、白蛋白、肌酐、國際標準化比率、併髮癥等進行比較分析,率的比較用 χ2 檢驗. 結果 採用牽拉式置管法 ( Pull 法) PEG 共84 例,成功率100%. PEG的常見基礎疾病為腦中風、顱腦外傷、缺血缺氧性腦病、頭頸部及食管腫瘤. PEG的原因有吞嚥睏難、反複肺炎髮作. 併髮癥的髮生率:消化道齣血10 .71%,腹腔內齣血2 .38%,造瘺口週圍感染率8.33%,氣腹5.95%,造瘺口肉芽組織生長過長3.57%,胃潴留2.38%;術後30 d內死亡7 .14%,顱腦疾患組及口嚥食道腫瘤組的死亡率、齣血、感染、氣腹併髮癥的髮生率無統計學差異(P>0.05). 結論 本組PEG病例主要為顱腦疾患、口嚥食道腫瘤患者,行PEG的原因為吞嚥睏難或反複髮作的肺炎,PEG主要併髮癥有齣血、感染、氣腹.
목적 탐토경피내경하위조루술 ( PEG ) 적림상응용경험. 방법 장2007 년1월지2014년12월경북경박애의원소화과주원행PEG치료적84례환자납입본연구,대병력자료、위경보고、마취기록진행회고성분석,대인구학자료、진단、혈상규、백단백、기항、국제표준화비솔、병발증등진행비교분석,솔적비교용 χ2 검험. 결과 채용견랍식치관법 ( Pull 법) PEG 공84 례,성공솔100%. PEG적상견기출질병위뇌중풍、로뇌외상、결혈결양성뇌병、두경부급식관종류. PEG적원인유탄인곤난、반복폐염발작. 병발증적발생솔:소화도출혈10 .71%,복강내출혈2 .38%,조루구주위감염솔8.33%,기복5.95%,조루구육아조직생장과장3.57%,위저류2.38%;술후30 d내사망7 .14%,로뇌질환조급구인식도종류조적사망솔、출혈、감염、기복병발증적발생솔무통계학차이(P>0.05). 결론 본조PEG병례주요위로뇌질환、구인식도종류환자,행PEG적원인위탄인곤난혹반복발작적폐염,PEG주요병발증유출혈、감염、기복.
Objective To summarize the clinical experience of percutaneous endoscopic gastrostomy (PEG).Methods Inpatients who underwent PEG in Beijing Charity Hospital from January 2007 to December 2014 were included in this study .The case notes ,endoscopic reports and anesthetic records were retrospectively analyzed.Demographic data,diagnosis,blood routine,albumin, creatinine, international normalized ratio, complication, et al were compared or analyzed .Chi-square statistics was used to compare the ratio .Rseults A total of 84 inpatients underwent PEG placement during this period ,using the Pull technique ,the successful rate of PEG was 100%.Primary diagnosis among patients who underwent PEG included stroke , craniocerebral trauma, hypoxic-ischemic encephalopathy , head or neck esophageal cancer .The reasons for PEG were dysphagia or recurrent pneumonia . The incidence of complications: upper gastrointestinal hemorrhage 10.71%, intra-abdominal hemorrhage 2.38%, infection of orificium fistulae 8.33%, skin granulation hyperplasia around fistula 3.57%, peritoneal pneumatosis 5.95%, gastric retention 2.38%, mortality in 30 day after PEG 7.14%. As for the mortality or the incidence rate of hemorrhage , infection and pneumoperitoneum, there had no statistical difference (P>0.05) between craniocerebral diseases group and cancer group of pars oralis pharyngis and esophageal .Conclusion The major diagnosis of PEG patients were craniocerebral diseases , cancer of pars oralis pharyngis and esophageal .The reason for PEG was dysphagia or recurrent pneumonia and the main complications were hemorrhage ,infection and peritoneal pneumatosis.
