| 姚全军,胡鸿涛,黎海亮,郭晨阳,耿翔,李亚楠.CT引导下经皮胃造口术的临床应用[J].中国医学影像技术,2015,31(8):1242~1245 |
| CT引导下经皮胃造口术的临床应用 |
| Clinical application of CT-guided percutaneous gastrostomy |
| 投稿时间：2014-10-21 修订日期：2015-07-01 |
| DOI：10.13929/j.1003-3289.2015.08.033 |
| 中文关键词: 体层摄影术,X线计算机 胃造口术 安全性 |
| 英文关键词:Tomography, X-ray computered Gastrostomy Safety |
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| 中文摘要: |
| 目的 探讨CT引导下经皮胃造口术的短期疗效和安全性。方法 回顾性分析16例接受CT引导下经皮胃造口术的吞咽困难患者资料。结果 CT引导下经皮胃造口术成功率为100%(16/16),千叶针穿刺胃腔共18次,手术时间25~45 min,平均(32.81±2.56)min。术后8天、1个月、3个月血清白蛋白(ALB)、前白蛋白(PA)、淋巴细胞计数(TLC)较术前明显升高(P均<0.05)。并发症发生率为20.31%(3/16)。胃造口渗液2例,胃造口感染1例,经对症治疗均痊愈。结论 CT引导经皮胃造口术可行、有效,短期内可提供充足的肠内营养,且并发症少。 |
| 英文摘要: |
| Objective To investigate the short-term effect and safety of CT-guided percutaneous gastrostomy. Methods A retrospective analysis of 16 patients underwent CT-guided percutaneous gastrostomy was performed. Results The success ratio of CT-guided percutaneous gastrostomy was 100% (16/16). Totally 18 times of gastral cavity puncture were done. The time of operation was from 25 to 45 minutes, and the mean was (32.81±2.56)min. The levels of the albumin (ALB), prealbumin (PA) and lymphocyte count (TLC) 8 days, 1 and 3 months after CT-guided percutaneous gastrostomy were significantly higher than those before operation (all P<0.05). The rate of complication was 20.31%(3/16). There were 2 cases of extravasation from the gastrostomize and 1 case of infection. All of 3 patients with complications were healed after internal medicine treatment. Conclusion CT-guided percutaneous gastrostomy may be practical and effective to provide plenty of enteral nutrition in the short-term with fewer complications. |
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