食管癌术后胸胃排空障碍探讨

Analisis of dyskinesia of gastric after esophagectomy

目的探讨食管癌术后胸胃排空障碍的原因及防治措施。方法对1990-2003年间25例食管癌术后胸胃排空障碍患者的临床资料进行回顾性分析,共占同期食管癌手术的0.9%。结果功能性胃排空障碍18例,均经保守治愈,机械性胃排空障碍7例,经手术治愈无死亡。结论食管癌术后胸胃排空障碍的主要原因为功能性,经保守治疗可治愈,少数为机械性梗阻,则急需及时手术治疗,术中规范的操作可以降低该病的发生率,吻合后再仔细检查吻合口周围及远端情况是预防的重要手段。

Objective To search the causes and the methods of prevent and treatment of the dyskinesia of gastric after esophagectomy.Methods The datas of 25 patients who have dyskinesia of gastric after esophagectoy were retrospected, which were 0.9 percent of the whole datas from 1990 to 2003.Results The 18 patients who have functional dyskinesia of gastric and 7 patients who have organic dyskinesia of gastric were all cured by conservative treatment and operation respectively.Conclusion The main causes of the dyskinesia of gastric after esophagectomy was functional and the patients could be cured by conservative treatment. But the patients who have organic obstruction had to have an operation in time. The normal method of operation could decrease the number of the patients who have the complication. It was important to prevent the complication through inspecting the anastomotic tissue and pylorus after anastomosis.