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胃切除术后胃瘫的诊治 被引量:2

Diagnosis and treatment of postsurgical gastroparesis syndrome after subtotal gastrectomy
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摘要 目的探讨胃大部切除术后残胃胃瘫综合征(PGS)的发生机制、诊断及治疗。方法对896例胃大部切除术后出现PGS患者的临床资料进行回顾性总结,探讨PGS的发生率及诊断方法。结果896例胃大部切除术患者发生PGS32例,PGS发生率为3.6%,均发生于术后3~10d;上消化道造影及胃镜检查是诊断PGS的可靠方法;32例均为非手术治愈。结论PGS的发生由多种因素引起,诊断时必须排除机械性、器质性病变;PGS采用非手术疗法均可治愈,手术治疗是禁忌证。 [Objective] To explore the etiology, pathogenesis, diagnosis and treatment of postsurgical gastroparesis syndrome after subtotal gastrectomy. [Methods] Clinical data of 896 patients with subtotal gastrectomy were analyzed retrospectively. [Results]There were 32 patients suffering from PGS (3.6% in total 896 patients), occurred within 3 - 10 d after operation. Radiography of upper gastrointestinal tract and gastroscopy were main methods to diagnose PGS. 32 patients were cured without operation. [Conclusions] PGS is induced by multiple factors, and organic and mechanical illness must be excluded. The methods without operation are effective to patients with PGS, and operation should be classed as contraindication.
作者 孙钦立
机构地区 沂水中心医院
出处 《山东医药》 CAS 北大核心 2006年第31期9-10,共2页 Shandong Medical Journal
关键词 切除术 胃瘫综合征 治疗 gastrectomy gastroparesis syndrome treatment
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