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目的探讨X-线引导下胃造瘘术在治疗晚期食管癌中临床意义。方法分析笔者收治的15例晚期食管癌患者行X-线引导胃造瘘术的临床资料。结果 15例均一次顺利完成操作,用时约5～10 min。术后出现造瘘管周渗血1例,术后出现造瘘口感染3例,均经及时处理后治愈;患者均未出现严重发症。结论 X-线引导下胃造瘘术具有简单、方便、安全性高、并发症少的特点,可作为失去手术机会的晚期食管癌患者行胃肠道营养的途径。
Objective To investigate the clinical significance of gastrostomy guided by X-ray in the treatment of advanced esophageal cancer. Methods Analysis of 15 cases of patients with advanced esophageal cancer treated with X-ray guided gastrostomy clinical data. Results All 15 cases completed the operation successfully in one time, about 5 ~ 10 min. Postoperative fistula pericardial bleeding in 1 case, postoperative fistula infection occurred in 3 cases, were treated promptly cured; patients did not appear serious complications. Conclusion Gastrostomy guided by X-ray has the characteristics of simple, convenient, safe and less complications. It can be used as gastrointestinal nutrition in advanced esophageal cancer patients who have lost the chance of operation.