- 期刊
利用血管攝影cone-beam CT引導經皮穿胃造瘻術－病例報告
Using Cone-beam CT to Guide Percutaneous Radiological Gastrostomy - Case Report
摘要
對於某些因素導致吞嚥困難者，例如腫瘤，因病人不能吞食，故營養狀況都很差，需要建立灌食管道，以暫時性或永久性補充營養攝取。至放射科做經皮穿胃造瘻術（percutaneous radiological gastrostomy, PRG）者，通常在胃部另外建立一通道，接造瘻管於腹部外。但在做經皮穿胃造瘻術時，因胃部旁邊有許多其他的臟器，例如肝臟、大腸，在做穿刺時容易刺破其他臟器造成出血。本次報告為51歲男性，因為口腔惡性腫瘤無法進食，為了供給病患足夠的營養，因此主治醫師安排該名病患到放射科做經皮穿胃造瘻術。利用血管攝影cone-beam CT的技術，來評估經皮穿胃造瘻術是否無穿刺其他臟器而造成出血之風險。手術完成24小時後，無明顯出血及不適，開始灌食。
並列摘要
For some factors leading to dysphagia, such as cancer, the patient cannot swallow so the nutritional status is very poor. He needs to establish a feeding channel to temporarily or permanently replenish nutritional intake. We would create a catheter in the stomach outside the abdomen percutaneous radiological gastrostomy (PRG) in the Department of Radiology. However, when doing PRG, there are many other organs beside the stomach, such as the liver and the colon. It's easy to puncture other organs and cause bleeding. A 51-year-old male could not eat normally because of oral malignant tumour. In order to provide sufficient nutrition for patients, the attending physician arranged for the patient to be treated with PRG. In this case the technique of cone-beam CT was used to assess the risk of bleeding caused by PRG without penetrating other organs. Twenty-four hours after the operation, no obvious bleeding and discomfort were found and then the feeding started regularly.
延伸閱讀
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