摘要
目的:探讨经皮内镜胃造瘘(percutaneous endoscopic gastrostomy,PEG)联合经皮内镜空肠造瘘(percutaneous endoscopic jejunostomy,PEJ)用于治疗普通外科多种疾病的价值。方法:2003年10月至2008年6月我院为12例普通外科疾病患者行PEG联合PEJ治疗,其中术后胃瘫2例,胆汁回输4例,胰头癌致胃十二指肠不全梗阻6例。结果:12例PEG及PEJ均一次性完成,手术成功率100%。2例造瘘管周围感染,患者PEG/J管发挥作用后逐步停用原有鼻胃(肠)管,改静脉营养补液为肠内营养补液,患者病情明显好转,9例带管出院,3例病情恢复后拔除PEG/J管,瘘口愈合,起到了替代原有鼻胃(肠)管的治疗作用;患者带管期间原有的咽喉部不适等症状消失,满意度高于传统的经鼻胃(肠)管。结论:PEG/J管是建立胃(肠)腔与外界通道的一种非常微创、有效和安全的方法,PEG置管可替代普通外科中大部分较长期的经鼻置胃(肠)管和手术胃(肠)造瘘置管,值得推广。
Objective ：To investigate the value of percutaneous endoscopic gastrostomy （PEG） combined with percutaneous endoscopic jejunostomy（PEJ） in the treatment of general surgical diseases. Methods：Twelve patients with general surgical diseases underwent PEG and PEJ from Oct. 2003 to Jan. 2008. Twn of them got postoperative gastroplegia,4 eases were hiliary recycle,and 6 cases were gastroduodenal partial obstruction caused by carcinoma of head of pancreas. Results：Twelve eases underwent PEG and PEJ successfully, Infection around fishda occurred in 2 cases. When the PEG/J tubes hegan to produce an effect,original nasogastric tube or nasointestinal tube was pulled out. After intravenous nntrition was changed into enteral nutrition,patient＇s condition markedly improved. 9 patients discharged with tubes. PEG/J tubes were extracted in 3 patients who recovered well, and the orificium fistulae healed. PEG/J tube replaeed original nasogastric tube or nasointestinal tube. The symptoms such as laryngophaungeal complaint disappeared. The satisfaction rate of PEG/J tube w-as higher than traditional nasogastric or nasointestinal tube. Conclusions：PEG/J tube is a mini-invasive, effective and safe method to bridge gastric （intestinal） cavity and external space. PEG can replace most of long-term nasogastrie （ nasointestinal） tube and gastrointestinal fistula tube put by surgery,and is worthy to be popularized.
出处
《腹腔镜外科杂志》
2009年第10期751-753,共3页
Journal of Laparoscopic Surgery
