经皮内镜胃造瘘和小肠造瘘术的临床应用价值

Clinical application value of percutaneous endoscopic gastrostomy and percutaneous endoscopic jejunostomy

目的探讨经皮内镜胃造瘘术（PEG）与小肠造瘘术（PEJ）在临床上的应用效果。方法选取本院2014年1月-2015年6月收治的24例PEG与PEJ患者作为研究对象,根据治疗方法分为PEG组和PEJ组,各12例。观察两组的治疗有效率与术后并发症发病情况。结果所选患者均成功完成手术,手术成功率为100%,两组的手术成功率比较,差异无统计学意义（P〉0.05）。PEG组的平均手术时间为（18.36±0.35）min,低于PEJ组的（28.52±0.33）min,差异有统计学意义（P〈0.05）。PEG组的并发症发生率为16.66%,显著高于PEJ组的8.33%,差异有统计学意义（P〈0.05）。结论经皮内镜胃造瘘术与小肠造瘘术均为安全高效的手术办法,小肠造瘘术的术后并发症发生率显著低于经皮内镜胃造瘘术,值得临床推广应用。

Objective To explore the application effect of percutaneous endoscopic gastrostomy（PEG） and percutaneous endoscopic jejunostomy（PEJ） in clinical practice. Methods 24 cases treated with PEG and PEJ in our hospital from January 2014 to June 2015 were selected and divided into the PEG group and the PEJ group according to treatment method,12 cases in each group.The effective rate and postoperative complication of two groups was compared. Results The operation of the patients was successful,and the success rate of the operation was 100%.There was no significant difference in the success rate of operation betwwen two group（P〉0.05）. The average operation time of PEG group was（18.36±0.35） min,which was shorter than that（28.52±0.33） min of PEJ group,with significant difference（P〈0.05）. The incidence rate of complication in the PEG group was 16.66%,which was higher than 8.33% in the EPJ group,with significant difference（P〈0.05）. Conclusion Percutaneous endoscopic gastrostomy and percutaneous endoscopic jejunostomy is safe and efficient,the incidence rate of complication after operation in PEJ is lower than that in PEG,it is worthy of clinical promotion and application.