腹部手术后功能性胃排空障碍28例诊治体会

Analysis of Diagnosis and Treatment of 28 Cases with Functional Delayed Gastric Emptying after Abdominal Operation

目的:探讨腹部手术后功能性胃排空障碍的病因、发生机制、诊断及治疗。方法:对1996年7月-2004年6月诊治的28例腹部手术后功能性胃排空障碍的临床资料进行回顾性分析。结果:功能性胃排空障碍均发生在腹部手术后4- 12 d。27例(96．4％)经非手术治疗后12-42 d恢复胃动力,痊愈出院。4周内治愈25例(89．3％),6周内治愈2例(7． 1％),1例(3．6％)术后半年仍恢复不理想,行手术治疗后痊愈出院。结论:腹部手术后功能性胃排空障碍是多因素所致, 消化道造影及胃镜检查是诊断本病及鉴别机械性梗阻的重要方法,采用综合非手术治疗绝大部分可以治愈,必要时手术治疗仍是可行的。

Objective： To investigate the etiology, mechanism, diagnosis and treatment of functional delayed gastric emptying （FDGE）. Methods： Analyzed retrospectively the clinical data of 28 patients with FDGE treated from 1996 to June 2004. Results; FDGE usually occurred in 4-12 days after operation. 27 patients（96. 4 M）recovered in 12-24 days after operation, with nonoperation treatment. Among them, 25 patients（89. 3%） recovered in 4 weeks, the other 2 patients（7. 1%） recovered in 6 weeks. 1 patient （3.6%）need operation to recover. Conclusion：FDGE is due to multiple factors. Gastroscopy and upper gastrointestinal radiography are valuable in the diagnosis of FDGE and differential diagnosis with mechanical intestinal obstruction. FDGE can be cured by non-operation treatment, while operation is feasible when necessary.