[1]曹 军,彭诗月,王赛博,等.经皮胃造瘘术治疗肌萎缩侧索硬化症吞咽困难51例 [J].介入放射学杂志,2017,(02):147-152.
CAO Jun,PENG Shiyue,WANG Saibo,et al.Percutaneous radiologic gastrostomy for the treatment of dysphagia associated with amyotrophic lateral sclerosis: preliminary results in 51 cases[J].journal interventional radiology,2017,(02):147-152.
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经皮胃造瘘术治疗肌萎缩侧索硬化症吞咽困难51例 ()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2017年02期
- 页码:
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147-152
- 栏目:
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非血管介入
- 出版日期:
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2017-02-25
文章信息/Info
- Title:
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Percutaneous radiologic gastrostomy for the treatment of dysphagia associated with amyotrophic lateral sclerosis: preliminary results in 51 cases
- 作者:
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曹 军; 彭诗月; 王赛博; 何 阳; 刘洪强; 苑天文; 赵保成; 郑晓辉; 朱悦琦
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- Author(s):
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CAO Jun; PENG Shiyue; WANG Saibo; HE Yang; LIU Hongqiang; YUAN Tianwen; ZHAO Baocheng; ZHENG Xiaohui; ZHU Yueqi
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Department of Interventional Oncology, Dahua Hospital, Xuhui District, Shanghai 200237, China
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- 关键词:
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【关键词】 肌萎缩侧索硬化症; 经皮透视下; 胃造瘘术
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 评价X线下经皮胃造瘘术(PRG)在51例肌萎缩侧索硬化症(ALS)吞咽困难患者中的临床应用,评估PRG对肺功能不全ALS患者的安全性及营养状况的改善作用。方法 回顾性分析51例行PRG手术的ALS患者。记录手术成功率,观察术后并发症情况。术后对患者进行定期随访,记录患者长期并发症及术后1、3、6个月病死率,评估术后营养状况的改变。结果 为51例ALS患者行PRG手术,手术成功率100%。7例患者(13.7%)出现轻微并发症,出现1例(2.0%)大出血严重并发症,术后未发现患者呼吸功能受损情况。术后1、3个月无患者死亡,术后6个月死亡3例(6.8%,3/44)。术后1个月31例患者体重增加超过1 kg,平均BMI从术前18.60±2.14增加到19.27±1.81(术后1个月)、19.17±1.93(术后3个月)和18.89±2.33(术后6个月)。结论 PRG无需胃镜和麻醉,降低了肺功能差的ALS患者的经皮胃造瘘术的误吸窒息风险,提高了手术成功率和安全性,是保证肺功能不全ALS患者足够的能量摄入、改善患者营养状况的有效手段之一。
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备注/Memo
- 备注/Memo:
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(收稿日期:2016-09-20)
(本文编辑:俞瑞纲)
更新日期/Last Update:
2017-02-13