胃大部切除术后残胃胃瘫综合征临床分析

Remnant stomach after subtotal gastrectomy of gastric paralysis syndrome

目的探讨胃大部切除术后残胃胃瘫综合征的发生原因、诊断及治疗。方法回顾性分析2007-01～2010-01施行胃大部分切除术后发生残胃胃瘫综合征8例患者的临床资料。结果本组病例均于术后10～48d(平均25.3d)通过保守治疗恢复胃动力,其中2周内恢复1例,3周内2例,4周内3例,>4周者2例,无再次手术者,6月后随访无复发。结论胃大部切除术后残胃胃瘫综合征在术前流出道梗阻、胃肠毕Ⅱ式吻合的病人中发病率较高,患者经过6周的非手术治疗后,多数可以缓解恢复,从而避免了二次手术的痛苦。

Objective To study the residual stomach after subtotal gastrectomy gastroparesis syndrome causes,diagnosis and treatment. Methods A retrospective analysis in January 2007 ～January 2010 implementation of gastric remnant after subtotal gastric gastroparesis syndrome occurred in 8 patients of the clinical data were analyzed. Results All patients in the postoperative 10d ～ 48d ( mean 25. 3d) recovery of gastric motility by conservative treatment,2 weeks recovery in 1 case 2 cases 3 weeks,4 weeks in 3 cases, more than four weeks in 2 cases No further surgery,six months no relapse. Conclusion remnant stomach after subtotal gastrectomy gastroparesis syndrome in the preoperative outflow obstruction,gastrointestinal Billroth Ⅱ anastomosis in patients with a higher incidence of patients after 6 weeks of non - surgical treatment,most can ease the recovery,which second operation to avoid the pain.