经皮内镜下胃造瘘术与外科手术胃造瘘术临床对比地研究

《经皮内镜下胃造瘘术与外科手术胃造瘘术临床对比地研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、万方数据目录中文摘要……………………………………………………1英文摘要……………………………………………………2前言……………………………………………………3资料与方法…………………………………………………4结果……………………………………………………7讨论……………………………………………………9结论……………………………………………………13参考文献……………………………………………………14致谢……………………………………………………16综述……………………………………………………17万方数据经皮内镜下胃造瘘术与外科手术胃造瘘术的临床对比研究中文摘要目的：研究经皮内镜下胃造瘘术(PE

2、G)的安全性、可行性及与传统外科手术胃造瘘术(SG)对比的优越性。方法：回顾性分析行胃造瘘术患者118例，PEG组72例，SG组46例，比较两组在手术操作时间、麻醉方式、管饲起始时间、术后并发症、手术费用、住院时间的差异。结果：PEG组可在胃镜室局麻下完成；SG组26例行气管内插管全麻，20例行硬膜外麻醉。两组在手术操作时间、管饲起始时间、术后并发症发生率及手术费用对比的差异有统计学意义（P<0.05）；两组在住院时间上对比经检验差异无统计学意义（P>0.05）。结论：PEG是建立长期肠内营养的一种安全、有效、可行的手术方式，具有手术操作时间短、麻醉简单、管饲起始快、术后并发症少、手术费用

3、少的优点，可成为胃造瘘术的首选，在临床上值得推广关键词：经皮内镜下胃造瘘术、外科手术胃造瘘术、并发症第1页万方数据TheClinicalComparativeStudyBetweenPercutaneousEndoscopicGastrostomyAndSurgicalGastrostomyEnglishAbstractObjective：TOevaluatethesafetyandfeasibilityofpercutaneousendoscopicgastrostomy(PEG)，andinvestigatetheadvantageoversurgicalgastrostomy(SG)

4、．Methods：Retrospectivestudyof118patientsduetovariousreasonsweredividedintoPEGgroup(72cases)andSGgroup(46cases),comparethedifferencebetweentwogroups,includedtheoperationtime,anesthesia,startingtimeoftubefeeding，postoperativecomplicationrate,operationcost,lengthofhospitalstay.Results：Operationswerec

5、ompletedsuccessfullyinallpatients,noprocedure-relatedmortalityoccurredinthetwogroups.PEGgroupWasallperformedunderthelocalanesthesiaintheendoscopesuite;SGgroupwasallperformedintheoperatingroom,26caseswereunderthegeneralanesthesiaand20caseswereundertheepiduralanesthesia.Thetwogroupsinoperationtime,a

6、nesthesia，startingtimeoftubefeeding，surgicalsite,postoperativecomplicationrate,operationcost,thedifferencewasstatisticallysignificant（P<0.05）;inlengthofhospitalstaythedifferencewasn’tstatisticallysignificant（P>0.05）.Conclusions：PEGisasafeandfeasibleone，itCanbeperformedunderthelocalanesthesiainthee

7、ndoscopesuiteandhasshorteroperationtimeandstartingtimeoftubefeeding，lesspostoperativecomplicationrateandoperationcost．PEGcanbethefirstchoiceforclinicalpractice．KeywordsPercutaneousEndoscopicGastrostomy；SurgicalGa