Pricolo V E, Vittimberga G M, Yellin S A, Burchard K W, Slotman G J
Department of Surgery, Brown University, Providence, Rhode Island.
Am Surg. 1989 Jul;55(7):413-6.
The efficacy and associated morbidity and mortality of gastrostomy (G) versus nasogastric (NG) tube decompression after gastric surgery were analyzed in a review of 100 patients. Age, sex, and risk factors were homogeneously distributed between the two groups, while perforated ulcers and emergency operations were more common in the G group. A gastrostomy did not completely eliminate the need for NG tube decompression in the G group. Postoperative morbidity was similar in the two groups, with the exception of an increased incidence of atelectasis in the elective NG group and increased mortality in the emergency G group. There was also a significant increase in length and cost of hospitalization in the emergency G group compared with emergency NG patients. Gastrostomy does not appear to offer any significant advantage over nasogastric decompression after gastric surgery and should be limited to special cases.
在一项对100例患者的回顾性研究中，分析了胃手术后胃造口术（G）与鼻胃管（NG）减压的疗效及相关的发病率和死亡率。两组患者的年龄、性别和危险因素分布均匀，但穿孔性溃疡和急诊手术在G组更为常见。胃造口术并未完全消除G组对鼻胃管减压的需求。两组术后发病率相似，但择期NG组肺不张发生率增加，急诊G组死亡率增加。与急诊NG患者相比，急诊G组的住院时间和费用也显著增加。胃造口术在胃手术后似乎并不比鼻胃管减压具有任何显著优势，应仅限于特殊情况。
