经皮内镜引导下、经皮影像学引导下施行胃造瘘术的比较研究

Percutaneous gastostomy techneques:a comparison between endoscopic and fluoroscopic way

胃造瘘术,为各种病因所致的进口摄食障碍患者提供了良好的肠内营养通道。过去对于胃造瘘管的放置方式,有多种不同的尝试,包括传统外科手术,近20年来,通过内镜引导下或影像引导下放置胃造瘘管的操作技术发展迅速,上述2项操作与外科方式相比,手术创伤小,费用相对较低,并发症发生率低,明显优于外科手术,本总结上述2种胃造瘘方法在临床上的运用情况,从适应证、操作方法、并发症等方面进行比较性研究。

Gastrostomy can provide a necessary nutrition passageway for patients with disturbance of ingestion due to various causes. Many different methods to place the gastrostomy tube,including conventional surgery,have been used. For recent two decades,gastrostomy by using percutaneous endoscopic guidance or percutaneous fluoroscopic guidance technique has rapidly developed. Compared with the conventional surgery,the above two techniques are less invasive and more economical with low occurrence of complications. This paper aims to summarize the clinical applications,indications,technical skills and the complications of both percutaneous endoscopy gastrostomy and percutaneous fluoroscopy gastrostomy,and the comparison between the two methods is also made.