摘要
①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。②方法 回顾性分析我院 1988年 8月～ 2 0 0 2年 12月发生的胃大部切除术后胃功能性排空障碍 5 6例病人的临床资料。③结果 5 6例中 4 4例行保守治疗 ,12例因误诊为输出端机械性梗阻而再次手术 ,全部治愈出院。④结论 残胃和空肠上段的正常运动功能障碍是发生本病的主要原因 ,与手术损伤胃和空肠上段的自主神经有关。非手术治疗是主要手段 。
Objective To determine the etiology, diagnosis and treatment of functional delayed gastric emptying(FDGE)following subtotal gastrectomy. Methods The clinical data of 56 FDGE patients after subtotal gastrectomy from 1988 to 2002 were analyzed retrospectively. Results All the 56 patients were recovered and discharged. Of which, 44 received conservative treatment, and 12 were misdiagnosed as having efferent mechanical obstruction and re-operated. Conclusion The main cause of FDGE is disturbance of gastrointestinal motility, which may be caused by vegetative nerve injury during the procedure. The main therapy is non-surgical. A re-operation should be avoided as possible at the early stage.
出处
《齐鲁医学杂志》
2004年第5期421-422,共2页
Medical Journal of Qilu
关键词
胃切除术
并发症
胃
gastrectomy
complications
stomach
