超声引导下经皮经腹胃造瘘管置入术胃穿刺入路的安全性和可行性
Safety and Feasibility of Ultrasound-Guided Gastric Access for Percutaneous Transabdominal Gastrostomy Tube Placement.
作者信息
Shukla Pratik A, Kolber Marcin K, Tapnio Richard, Zybulewski Adam, Kumar Abhishek, Patel Rajesh I
机构信息
Division of Vascular and Interventional Radiology, Department of Radiology, Mount Sinai Beth Israel, Mount Sinai Hospital System, Icahn School of Medicine, First Avenue at Sixteenth Street, New York, NY 10010, USA.
出版信息
Gastroenterology Res. 2019 Jun;12(3):115-119. doi: 10.14740/gr1136. Epub 2019 Jun 7.
BACKGROUND
The aim of the study was to evaluate the safety and feasibility of ultrasound guidance gastric access for percutaneous retrograde transabdominal gastrostomy (G)-tube placement.
METHODS
Twenty-eight patients undergoing 31 percutaneous retrograde transabdominal G-tube placements utilizing ultrasound-guided gastric accesses were retrospectively identified.
RESULTS
All patients had successful placement of G tubes with ultrasound-guided gastric access. There were no cases of aspiration or peritonitis. Average fluoroscopy time was 2.7 ± 1.4 min and average radiation dose was 220 ± 202 µGym.
CONCLUSIONS
Ultrasound-guided access for gastrostomy placement is safe and feasible and can be performed with minimal fluoroscopy times resulting in low patient and operator radiation dose.
背景
本研究的目的是评估超声引导下经皮逆行经腹胃造口术（G管置入）中胃穿刺的安全性和可行性。
方法
回顾性纳入28例患者，共进行了31次经皮逆行经腹G管置入，均采用超声引导下胃穿刺。
结果
所有患者在超声引导下胃穿刺均成功置入G管。无吸入或腹膜炎病例。平均透视时间为2.7±1.4分钟，平均辐射剂量为220±202µGym。
结论
超声引导下胃造口术置管安全可行，透视时间短，患者和操作者所受辐射剂量低。
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