X线引导下行经皮胃造瘘术治疗口咽部肿瘤导致吞咽困难患者21例

发布时间：2018-05-08 14:23

本文选题：X线引导 + 经皮　；参考：《介入放射学杂志》2015年01期

【摘要】：目的评价X线引导下经皮胃造瘘术(PRG)在口咽部肿瘤导致吞咽困难者中的临床应用及营养状况的改善作用。方法对21例行PRG患者进行回顾性分析,观察患者PRG置管前、置管后1、3和6个月的营养指标,包括血红蛋白、总蛋白、白蛋白、转铁蛋白变化及体质量指数的改变,并记录置管前后并发症情况。结果 21例患者共完成PRG操作21次,成功率100%,患者术后肠内营养1、3和6个月后血红蛋白、总蛋白、白蛋白、转铁蛋白及体质指数均有不同程度的改善,置管前、后组内比较差异有统计学意义(P0.05);并发症发生率14.3%(3/21),感染发生率4.8%(1/21)。结论 PRG耐受性好,是口咽部肿瘤患者肠内营养的一种有效、简单、安全的方法,可明显改善此类患者的营养状况。
[Abstract]:Objective to evaluate the clinical application of X-ray guided percutaneous gastrostomy (PRG) in patients with dysphagia caused by oropharyngeal neoplasms. Methods 21 patients with PRG were retrospectively analyzed. The nutritional parameters including hemoglobin, total protein, albumin, transferrin and body mass index (BMI) of 21 patients with PRG were observed before and 1 month and 6 months after PRG placement, including hemoglobin (HB), total protein (TP), albumin (albumin), transferrin (TF) and body mass index (BMI). Complications before and after catheterization were recorded. Results 21 PRG procedures were performed in 21 patients, the success rate was 100. Hemoglobin, total protein, albumin, transferrin and body mass index were improved in different degrees after 1 and 6 months of postoperative enteral nutrition. The incidence of complications was 14.3% / 21%, and the incidence of infection was 4.8% / 21%. Conclusion PRG is an effective, simple and safe method for enteral nutrition in patients with oropharyngeal neoplasms.
【作者单位】：苏州大学医学部;上海市徐汇区大华医院;上海交通大学附属第六人民医院;
【基金】：上海市自然科学基金(12ZR1428900) 上海市卫生局青年科研项目(20124Y096)
【分类号】：R739.63

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