摘要
目的 探讨胃大部切除术后残胃功能性排空障碍的病因、诊断及治疗措施。方法 回顾性分析 1987～ 2 0 0 1年 12月发生的胃大部切除术后胃功能性排空障碍 5 3例患者的临床资料。结果 5 3例中 11例因误诊为输出端机械性梗阻而再次手术。本组无死亡病例 ,均治愈出院。结论 残胃和空肠上段的正常运动功能障碍是主要病因 ,可能与手术造成支配胃和空肠上段的自主神经损伤有关。非手术治疗是主要的治疗手段 ,应尽量避免早期再次手术。
ObjectiveTo determine the possible causes for functional delayed gastric emptying (FDGE) and its diagnosis and treatment. MethodsThe clinical data of 53 FDGE patients after subtotal gastrectomy from 1987 to 2001 were retrospectively analysed. ResultsAll the 53 patients were recovered and discharged. Among them, 11 were misdiagnosised as mechanical ileus and were reoperated on. ConclusionsThe main cause of FDGE may be the disturbance of gastrointestinal motility which may be caused by vegetative nerve injury during the operation. The main therapy is non-surgical treatment and reoperation should be avoided at the early stage.
出处
《中国普通外科杂志》
CAS
CSCD
2002年第11期665-667,共3页
China Journal of General Surgery
