经皮内镜下胃造瘘在神经性吞咽障碍患者中的应用

摘要

Objective To investigate the value of percutaneous endoscopic gastrostomy(PEG) in neural dysphagia patients. Methods From Jan 2008 to May 2010, 46 patients with neural dysphagia were received PEG and followed up. Results PEG was successfully performed in all patients in an average time of 15 minutes. The longest duration of the tube stay was 2 years. The tube blockage occurred in 1 patient infection of skin around the opening in 3 patients, the skin granulation hyperplasia in 1 patient, and reflux esophagitis in 2 patients. No severe complications happened. Conclusions Percutaneous endoscopic gastrostomy is a valuable approach of enteral nutrition for patients with neural dysphagia because of its high efficiency, safety and convenience.%目的 探讨经皮内镜下胃造瘘(PEG)在神经性吞咽障碍患者中的应用价值.方法 对2008年1月至2010年5月间在我院康复科住院治疗的46例神经性吞咽障碍患者进行PEG并随访,观察临床疗效及并发症.结果 所有患者均成功完成PEG,平均耗时15分钟,造瘘管最长留置时间为2年,1例出现堵管.3例出现造瘘口周围皮肤感染,1例发生造瘘口周嗣皮肤肉芽增生,2例发生反流性食管炎,未发生出血、穿孔等严重并发症.结论 经皮内镜下胃造瘘对于神经性吞咽障碍患者来说是一种高效、安全、方便,更符合生理的肠内营养方法.