在穿皮内镜胃口术过程中,在哪个步骤中应该做出腹壁皮肤切口? :一个回顾性比较研究
Mustafa Ergin1, Fatih Kivrakoğlu2, Gülencan Yumuşak Ergin3
1Department of Gastroenterology, Aksaray University Training and Research Hospital, Aksaray, Türkiye.
Medicine
|March 13, 2026
概括
穿皮内镜胃口术 (PEG) 过程中皮肤切口的时间不会影响并发症率. 这项研究发现,在局部麻醉后进行切口或在取出管道时进行切口之间并发症没有显著差异.
科学领域:
- 胃肠病学 胃肠病学
- 手术手术手术手术手术手术手术手术手术手术
- 患者安全 患者安全
背景情况:
- 穿皮内镜胃口术 (PEG) 提供了必要的长期营养支持.
- 由于其生理上的好处,PEG通常优先于肠外营养.
- 在PEG安置期间,可能会发生从轻微到严重的并发症.
研究的目的:
- 调查皮肤切口时间对PEG手术中的并发症率的影响.
- 为了比较切口在麻醉后进行时的并发症与管道切除期间的并发症.
主要方法:
- 一项涉及192名接受PEG.患者的比较研究.
- 第1组 (n=80):在注射利多卡因后进行皮肤切口.
- 第二组 (n=112):在从胃中取出PEG管时切割皮肤.
主要成果:
- 观察到的最常见的并发症是PEG管脱.
- 其他并发症包括周围肠道感染,出血,泄漏,管道阻塞和埋藏的保险综合征.
- 在两个切口时间组之间,没有发现并发症率的统计学上显著差异.
结论:
- 穿皮内镜胃口术是非常有效的手术,如果有指示,并与适当的准备进行.
- 皮肤切口的时间 (麻醉后和管切除期间) 似乎不会影响并发症的发生.
- 在PEG程序中,严重并发症的发生率很低,这有助于它们在营养支持中的有效性.
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