透皮胃口切除:PUSH与PUSH中的相关并发症 在推中心12年多的时间里,PULL技术在推中心
Ana Piñar-Gutiérrez1, Lucía González-Gracia1, Rocío Vázquez Gutiérrez1
1UGC Endocrinología y Nutrición, Hospital Universitario Virgen del Rocio, 41013 Sevilla, Spain.
Journal of clinical medicine
|April 13, 2024
概括
拉拉胃口术的并发症比推拉胃口术的并发症要多,但这两种穿皮胃口术的方法 (PEG或PRG) 总体上是安全的,大多数问题都是轻微的.
科学领域:
- 医疗程序 医疗程序
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
背景情况:
- 穿皮胃口术是一种常见的营养支持程序.
- 通过内镜 (PEG) 或放射学 (PRG) 方法,PUSH和PULL技术都用于胃口的放置.
- 在PUSH和PULL技术之间,并发症的发生率和类型可能会有所不同.
研究的目的:
- 为了比较PUSH与PULL技术的并发症率,用于穿皮胃口术.
- 评估与内镜 (PEG) 和放射性 (PRG) 胃口术程序相关的并发症.
主要方法:
- 一项前性观察性研究包括423名在2009-2020年期间接受PUSH或PULL胃口切除 (PEG或PRG) 的成年患者.
- 统计分析,包括基平方或费舍尔精确测试,比较并发症比例.
- 单变量分析确定了PRG相关并发症的风险因素.
主要成果:
- 与PUSH技术 (n=242) (23.8%;p=0.005) 相比,PULL技术 (n=181) 的总并发症发生率更高 (37.6%).
- 特殊的并发症,如排泄和刺激,在PULL技术中更频繁.
- 总体而言,严重并发症很低,包括5例腹膜炎,3例胃口,1例死亡.
结论:
- 穿皮胃口术的PULL技术与PUSH技术相比,总并发症的发生率更高.
- 尽管存在差异,但PUSH和PULL胃口术方法都被认为是安全的,大多数并发症都是轻微的和可控的.
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