摘要
目的:探讨食管癌术后胃排空障碍的原因和治疗。方法:回顾分析6例食管癌除术后功能性和机械性胄排空碍的临床特点,选择手术和非手术治疗的措施。结果:经保守治疗后痊愈4例,行手术探查2例,术中证实为机械性梗阻。1例行胃壁破裂修补术,1例剖胸胃松解。术后均治愈好转出院。结论:食管癌切除术后胃排空障碍可为功能性因素或机械性因素所致。根据其临床表现、X线钡餐或胃镜检查以鉴别,如无绞窄征象应先保守治疗,若无缓解征象应考虑手术探查。
Objeetive：To manage the reason and treatment of ejection disturbance after esophageal cancer postoperation. Methods：Review and analyse the clinical characteristics of 6 eases of gastric ejection disturbance after esophageal cancer postoperation, and chooses measure of operation and non operation. Resuits： It has completely recovered and turn for the better of 4cases after keep treatment. Operative exploration 2 cases, and it had proved mechanical obstruction on operation. One case on gastric rupture neoplasty, one open thoracotomy to gastric loosse. It all completely recovered or turn for the better after operation. Conclusion： The ejection disturbance of gastric after esophageal cancer postoperation is divided into factors： functional and mechanical. According to its clinical manifestation, barium meal examination or gastroseopy and take into discriminate. If have no strangutation to keep first the treatment, if have no alleviate to consider on operation.
出处
《承德医学院学报》
2006年第3期247-249,共3页
Journal of Chengde Medical University
关键词
食管癌术后
胃排空障碍
手术
esophageal cancer
postoperation gastric ejection
disturbance
