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脑梗死、脑出血、动脉硬化性脑病、脑外伤昏迷、转移性肿瘤等中枢神经系统的疾患及消化道的一些肿瘤能导致患者进食困难和营养不良[1],建立胃肠营养途径除鼻饲外,主要有手术法、X线和内镜下经皮穿刺法。Gauderer和Ponsky在1980年首次应用Ponsky-Gauderer[2-3]拉出技术进行经皮内镜造瘘术(PEG),且有研究显示PEG优于手术和X线下经皮穿刺法,现报告如下。
Cerebral infarction, cerebral hemorrhage, arteriosclerotic encephalopathy, cerebral trauma coma, metastatic tumors and other diseases of the central nervous system and some tumors of the digestive tract can lead to eating difficulties and malnutrition in patients [1], the establishment of gastrointestinal nutrition route in addition to nasal feeding , There are surgical methods, X-ray and endoscopic percutaneous puncture. It was the first time that Gauderer and Ponsky applied Ponsky-Gauderer [2-3] pull-out technique in 1980 for percutaneous endoscopic ostomy (PEG). And studies have shown that PEG is superior to surgery and X-ray percutaneous puncture. It is reported as follows.