摘要
目的探讨食管癌贲门癌术后胸胃排空障碍的诱因、诊断和治疗。方法回顾性分析施行3070例食管癌贲门癌切除术后发生胸胃排空障碍35例患者的临床资料。结果本组病例发生胸胃排空障碍35例,发生率1.14%,其中机械性胸胃排空障碍9例(均再次手术治疗),功能性胸胃排空障碍26例。治愈34例(97.14%),死亡1例。结论上消化道造影、胃镜是鉴别机械性胃排空障碍和功能性胃排空障碍的重要方法 ,对术后机械性胃排空障碍应采取手术治疗,而功能性胃排空障碍采取保守治疗多能好转。
Objective To explore the risk factors and the therapeutic effect of disturbance of intrathoracic gastric emptying（DIGE） after resection of esophageal or gastric cardiac carcinoma.Methods A retrospective analysis of clinical data of 3070 patients underwent with esophageal or cardiac cancer resection were analyzed.Results The incidence rate of disturbance of intra-thoracic gastric emptying was 1.14%.Among patients with DIGE,26 cases were functional disturbance,and 9 cases were mechanical disturbance.Of those patients with DIGE,34 cases were cured and 1 case died.Conclusions Upper gastrointestinal radiography and endoscopy are important to differentiate function DIGE from mechanical DIGE.Conservative therapy should be used for the patient s with functional DIGE,and reoperation for mechanical DIGE.
出处
《西部医学》
2010年第8期1428-1429,共2页
Medical Journal of West China
关键词
胃排空障碍
食管癌
贲门癌
外科手术
Disturbance of intrathoracic gastric emptying
Esophageal carcinoma
Cardiac carcinoma
Surgical treatment
