摘要
１９７５～１９９０年施行食管癌贲门癌切除术３１６５例，术后发生胃梗阻６例，发生率０．１９％。梗阻原因有：移置胃扭转（２例）、膈肌食管裂孔太紧挤压幽门（２例）、幽门受纤维粘连带压迫（１例）以及幽门受极大张力上提牵拉变扁（１例）。６例均行上腹正中切口二次手术，纤维粘连带压迫者行松解术、膈肌食管裂孔过紧者行扩张术，其余施行胃窦空肠吻合术。二次术后５例治愈、１例死亡。文中对该并发症的发生原因进行分析，并对预防、诊断和治疗问题进行讨论。
From Dec. 1975 to Dec.1990,3165 patients underwent resection of carcinomas of the esophagus and gastric cardia in our hospital. Postoperative mechanical gastric obstruction occurred in 6 patients with an incidence of 0.19%. The causes of obstruction included gastric volvulus in 2 cases,compression of the pylorus by a tight hiatus in 2 and of the gastric antrum by a fibrous adhesive band in 1,and severe deformity of the pylorus by excessive upward pulling in 1.Second operation was performed in all of the 6 patient,through upper median abdominal incision and different surgcal procedures consisting of separation of the fibrous adhesive band,dilatation of the hiatus and gastric jejunostomy were employed. Five of them recovered and one died postoperatively.The causes,diagnosis, prevention and treatment of the gastric obstruction were discussed.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1995年第3期147-148,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
