经腹胃切开途径放置经皮内镜下胃造口管在晚期喉癌病人中的应用

目的:报道在晚期伴食管完全梗阻的喉癌病人中通过经腹胃切开途径成功放置经皮内镜下胃造口管的应用体会。方法:18例喉癌术后复发伴食管完全梗阻的病人,在局麻或硬膜外麻醉下经腹胃切开途径放置经皮內镜下胃造口管,术后行肠内营养支持。结果:16例在局麻下、2例在硬膜外麻醉下成功放置经皮內镜下胃造口管,手术平均时间32.1±5.8分钟,无手术及导管相关性并发症发生。结论:经腹胃切开途径放置经皮內镜下胃造口管是安全、简便及有效的营养支持途径,术后耐受好、易于护理,适合喉癌伴食管完全梗阻病人建立长期营养支持途径的需要。

Application of Percutaneous Endoscopic Gastrostomy Tube Through Laparotomy in Advanced Laryngocarcinoma Patients

Objective: To report the experience of application of percutaneous endoscopic gastrostomy tube through laparotomy in end stage laryngocarcinoma patients with complete oesophagus obstruction. Methods: Eighteen relapsed end-stage obstructive laryngocarcinoma patients successfully received application of percutaneous endoscopic gastrostomy tube through laparotomy under local anesthesia or epidural anesthesia, and enteral nutrition after operation. Results: Sixteen cases under local anesthesia and two cases und...