Seitz J, Gmeinwieser J, Strotzer M, Dorenbeck U, Paetzel C, Lock G, Manke C, Feuerbach S, Schölmerich J
Institut für Röntgendiagnostik, Klinik und Poliklinik für Innere Medizin I, Universität Regensburg.
Dtsch Med Wochenschr. 1997 Oct 31;122(44):1337-42. doi: 10.1055/s-2008-1047768.
To analyse retrospectively the results of CT (computed tomography)-guided gastrostomy or gastroenterostomy where an endoscopic procedure was not possible or had failed.
Between August 1993 and March 1997, CT-guided gastrostomy (n = 50) or gastroenterostomy (n = 8) was performed in 58 patients (mean age 56 +/- 6 years; 51 males, 7 females). An endoscopic or fluoroscopic method had been contraindicated in 52 and had failed in 6 patients.
Technical success was achieved in all patients. Three patients needed intravenous sedation. There were no procedure related complications requiring treatment. Three patients had a mild infection at the site of the skin puncture.
CT-guided gastrostomy or gastroenterostomy is a safe and simple procedure which provides a minimally invasive alternative also in patients with contraindications to the established percutaneous method.
回顾性分析在无法进行内镜操作或内镜操作失败的情况下，CT（计算机断层扫描）引导下胃造口术或胃肠造口术的结果。
1993年8月至1997年3月期间，对58例患者（平均年龄56±6岁；男性51例，女性7例）实施了CT引导下胃造口术（n = 50）或胃肠造口术（n = 8）。52例患者因禁忌证无法采用内镜或荧光镜检查方法，6例患者内镜或荧光镜检查方法失败。
所有患者均获得技术成功。3例患者需要静脉镇静。无需要治疗的与操作相关的并发症。3例患者在皮肤穿刺部位出现轻度感染。
CT引导下胃造口术或胃肠造口术是一种安全、简单的操作，对于既定经皮方法存在禁忌证的患者，也是一种微创替代方法。
