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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。
OBJECTIVE: To report the successful application of percutaneous endoscopic gastrostomy through abdominal passage in patients with advanced laryngeal carcinoma with complete esophageal obstruction. METHODS: Eighteen patients with recurrent esophageal laryngeal carcinoma and complete esophageal obstruction underwent percutaneous endoscopic gastrostomy by means of abdominal gastrectomy under local anesthesia or epidural anesthesia. Enteral nutrition was used after operation. Results: Under local anesthesia, 2 cases underwent percutaneous endoscopic gastrostomy successfully under epidural anesthesia. The average operation time was 32.1 ± 5.8 minutes. There were no complications related to operation and catheterization. CONCLUSIONS: Percutaneous endoscopic gastrostomy tube placement by peritoneal incision is a safe, convenient and effective nutritional support. It is well tolerated and easy to care after operation. It is suitable for long-term nutritional support for patients with laryngeal cancer and complete esophageal obstruction The need for ways.