摘要
目的探讨胃大部切除术后功能性排空障碍的发生原因，诊断及治疗。方法对１９９３～１９９８年施行的２５６例胃大部切除术的临床资料进行回顾性分析。结果本组共发生功能性排空障碍１２例，发生率４７％，均发生于术后３～１２天。所有病人均经保守治疗治愈出院，８３３％于１周内治愈，２周内６６６７％治愈，３周内９１６７％治愈，所有病人均于３２天之内治愈。结论术后残胃和远端空肠正常的运动功能破坏是发生功能性排空障碍的主要原因。消化道造影及胃镜检查是诊断本病及与机械性梗阻鉴别的重要方法。采取非手术治疗一般均可治愈。
Objective To investigate the possible causes of
functional delayed gastric emptying(FDGE)and its diagnosis and treatment. Methods The
clinical data of 256 patients who had subtotal gastrectomy from 1993 to 1998 were
retrospectively analysed. Results FDGE occurred in 12 of 256 patients(4\^7%)with 3 to 12 days
after surgery.All the 12 patients recovered with medical therapy and were discharged.Among the
12 patients with FDGE,8\^33% recovered by a week,66\^67% by 2 weeks,91\^67% by 3 weeks
and 100% by 32 days. Conclusion Alteration of gastrointestinal motility may be the main cause
of FDGE.An upper gastrointestinal radiography and endoscopy are the important methods of
diagnosis of FDGE and differential diagnosis with mechanical ileus.Gastrointestinal motility can
return spontaneously after a long period of medical therapy and there is no need for reoperation
for gastric stasis.Some prokinetic drugs may have had a beneficial effect on the postoperative
gastrointestinal motility.
出处
《中国实用外科杂志》
CSCD
北大核心
1999年第6期341-343,共3页
Chinese Journal of Practical Surgery
