經(jīng)皮內(nèi)鏡下胃造瘺術(shù)與外科手術(shù)胃造瘺術(shù)臨床對(duì)比地研究

《經(jīng)皮內(nèi)鏡下胃造瘺術(shù)與外科手術(shù)胃造瘺術(shù)臨床對(duì)比地研究》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。

1、萬(wàn)方數(shù)據(jù)目錄中文摘要……………………………………………………1英文摘要……………………………………………………2前言……………………………………………………3資料與方法…………………………………………………4結(jié)果……………………………………………………7討論……………………………………………………9結(jié)論……………………………………………………13參考文獻(xiàn)……………………………………………………14致謝……………………………………………………16綜述……………………………………………………17萬(wàn)方數(shù)據(jù)經(jīng)皮內(nèi)鏡下胃造瘺術(shù)與外科手術(shù)胃造瘺術(shù)的臨床對(duì)比研究中文摘要目的：研究經(jīng)皮內(nèi)鏡下胃造瘺術(shù)(PE

2、G)的安全性、可行性及與傳統(tǒng)外科手術(shù)胃造瘺術(shù)(SG)對(duì)比的優(yōu)越性。方法：回顧性分析行胃造瘺術(shù)患者118例，PEG組72例，SG組46例，比較兩組在手術(shù)操作時(shí)間、麻醉方式、管飼起始時(shí)間、術(shù)后并發(fā)癥、手術(shù)費(fèi)用、住院時(shí)間的差異。結(jié)果：PEG組可在胃鏡室局麻下完成；SG組26例行氣管內(nèi)插管全麻，20例行硬膜外麻醉。兩組在手術(shù)操作時(shí)間、管飼起始時(shí)間、術(shù)后并發(fā)癥發(fā)生率及手術(shù)費(fèi)用對(duì)比的差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；兩組在住院時(shí)間上對(duì)比經(jīng)檢驗(yàn)差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。結(jié)論：PEG是建立長(zhǎng)期腸內(nèi)營(yíng)養(yǎng)的一種安全、有效、可行的手術(shù)方式，具有手術(shù)操作時(shí)間短、麻醉簡(jiǎn)單、管飼起始快、術(shù)后并發(fā)癥少、手術(shù)費(fèi)用

3、少的優(yōu)點(diǎn)，可成為胃造瘺術(shù)的首選，在臨床上值得推廣關(guān)鍵詞：經(jīng)皮內(nèi)鏡下胃造瘺術(shù)、外科手術(shù)胃造瘺術(shù)、并發(fā)癥第1頁(yè)萬(wàn)方數(shù)據(jù)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