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目的:探讨经皮内镜下空肠造口术应用于胃癌患者术后产生胃排空障碍现象时的临床疗效。方法:选取23例胃癌术后发生胃排空障碍的患者作为本次的研究对象,通过局部麻醉或基础麻醉的情况下均采用经皮内镜下空肠造口术进行治疗,所有患者术后予以胃减压以及肠内营养支持等干预措施。结果:23例患者手术均获得成功,平均手术时间为(19.23±4.41)min,且未发现与导管相关的任何并发症,预后较好;术后第2d对所有患者采用空肠营养管予以营养支持,平均(7.28±1.58)d后完全脱离肠外营养;术后胃动力夹闭胃引流管平均时间为(19.37±7.71)d,留置时间平均为(35.73±11.72)d,所有患者在拔管时的身体健康状况以及营养汲取状况与术前相比较好,改善情况理想。结论:经皮内镜下空肠造口术应用于胃癌术后排空障碍的临床治疗当中,能够产生较为理想的胃减压以及营养支持效果,对患者的临床体征、健康状况以及生活质量均有不同程度的明显改善,值得临床应用及推广。
Objective: To investigate the clinical efficacy of percutaneous endoscopic jejunostomy in gastric cancer patients with gastric emptying disorder. Methods: Twenty-three gastric emptying patients with gastric emptying were selected as the study subjects. All cases were treated by percutaneous endoscopic jejunostomy under local anesthesia or basic anesthesia. All patients were given postoperative Gastric decompression and enteral nutrition support and other interventions. RESULTS: Twenty-three patients were successful in operation, the average operation time was (19.23 ± 4.41) min. No complications related to the catheter were found, and the prognosis was good. On the 2nd postoperative day, jejunal nutrition tube was used for nutritional support , Mean (7.28 ± 1.58) d after complete removal of parenteral nutrition; postoperative gastric motility occlusion of gastric drainage tube average time was (19.37 ± 7.71) d, retention time average of (35.73 ± 11.72) d, all patients extubation At the time of physical health and nutritional status compared with preoperative better to improve the situation ideal. Conclusion: Percutaneous endoscopic jejunostomy applied in the treatment of postoperative gastric emptying disorders, can produce better gastric decompression and nutritional support effect on the patient’s clinical signs, health status and quality of life Different degrees of significant improvement, it is worth clinical application and promotion.