| 经皮内镜下胃造口术与外科胃造口术的对比研究 |
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| 引用本文： | 陈思曾,朱景法,刘森峰,许彬东,陈啸风,谢榕城,张敦琪,吴伟丹. 经皮内镜下胃造口术与外科胃造口术的对比研究[J]. 肠外与肠内营养, 2010, 17(3) |
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| 作者姓名： | 陈思曾 朱景法 刘森峰 许彬东 陈啸风 谢榕城 张敦琪 吴伟丹 |
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| 作者单位： | 福建医科大学附属第一医院胃肠外科,福建福州,350005 |
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| 摘 要： | 目的:探讨经皮内镜下胃造口术(PEG)的安全性、可行性及其与传统外科胃造口术(SG)相比较的优越性。方法:回顾性分析因各种原因行胃造口术病人42例,PEG组20例,SG组22例,比较两组在操作地点、麻醉方式、操作时间、管饲起始时间、住院时间、手术费用、术后并发症的差异。结果:42例病人均顺利完成手术,两组均无手术死亡病例。PEG组均在胃镜室局部麻醉下完成。SG组均在手术室完成,15例行气管内插管全身麻醉,7例行硬膜外麻醉。PEG组与SG组的操作时间分别为(27.55±7.83)min和(62.73±9.48)min(P0.01),管饲起始时间分别为(24.89±1.76)h和(32.43±5.60)h(P0.01),住院时间分别为(25.60±13.35)d和(28.82±17.19)d(P0.05),手术费用分别为(1441.10±164.89)元和(2115.00±710.37)元(P0.01)。PEG组与SG组术后并发症发生率分别为15.00%和27.27%(P0.05)。PEG组操作时间、管饲起始时间均显著短于SG组(P0.01),且手术费用显著少于SG组(P0.01)。结论:PEG是一种安全、可行的手术方式,可在胃镜室局部麻醉下完成,具有操作时间短、管饲起始快、手术费用少的优点,基本上可替代SG,并成为胃造口术的首选。
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| 关 键 词： | 经皮内镜下胃造口术 外科胃造口术 肠内营养 |
The comparative study between percutaneous endoscopic gastrostomy and surgical gastrostomy |
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| CHEN Si-zeng,ZHU Jing-fa,LIU Sen-feng,XU Bin-dong,CHEN Xiao-feng,XIE Rong-cheng,ZHANG Dun-qi,WU Wei-dan. The comparative study between percutaneous endoscopic gastrostomy and surgical gastrostomy[J]. Parenteral & Enteral Nutrition, 2010, 17(3) |
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| Authors: | CHEN Si-zeng ZHU Jing-fa LIU Sen-feng XU Bin-dong CHEN Xiao-feng XIE Rong-cheng ZHANG Dun-qi WU Wei-dan |
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| Affiliation: | CHEN Si-zeng,ZHU Jing-fa,LIU Sen-feng,XU Bin-dong,CHEN Xiao-feng,XIE Rong-cheng,ZHANG Dun-qi,WU Wei-dan(Department of Gastrointestinal Surgery,First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,Fujian,China) |
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| Abstract: | Objective:To investigate the safety and feasibility of percutaneous endoscopic gastrostomy(PEG),and evaluate the advantage over surgical gastrostomy(SG).Methods:In this retrospective study,42 patients selected due to various reasons were divided into PEG group(20 cases)and SG group(22 cases).The parameters of two groups were compared,which included the procedure location,anesthesia,procedure time,starting time of tube feeding,length of hospital stay,procedure cost and postoperative complication rate.Results... |
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| Keywords: | Percutaneous endoscopic gastrostomy Surgical gastrostomy Enteral nutrition |
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