胃癌根治术后功能性胃排空障碍25例临床分析

Clinical analysis of 49 cases of stomach emptying disorder after radical correction of stomach cancer

目的探讨胃癌根治术后功能性胃排空障碍的临床特点及其治疗方法。方法回顾性分析我院1990年1月～2007年12月行胃癌根治术后发生功能性胃排空障碍25例的临床资料。结果术前合并幽门梗阻的病人功能性胃排空障碍发生率高达9.21%,显著高于术前未合并幽门梗阻病人的2.23%(P<0.05)。25例确诊功能性胃排空障碍后均给予非手术综合治疗,均治愈。结论功能性胃排空障碍是胃癌根治术后相对少见的近期并发症,术前合并幽门梗阻及行毕Ⅱ式吻合术为其易发因素。通过上消化道造影动态检查一般能明确诊断,确诊后采用非手术综合治疗多可治愈。

Objective To assess the clinical features and treatment of the functional stomach emptying disorder（FSED）after radical correction of stomach cancers. Methods The clinical data of 49 cases of FSED after radical correction of stomach cancers were retrospectively analyzed. Results The incidence of FSED in patients with pyloric obstruction before operations was up to 9. 21%, significantly higher than in those without pyloric obstruction before operation（2. 23% ,P〈0.05）. Twenty-five cases of FSED were subjected to non-operational therapy and cured. Conclusion FSED is an early complication after radical correction of stomach cancers. Pyloric obstruction and Billroth Ⅱ gastroenterostomy are its causative factors. Dynamic opacificational study of upper gastrointestinal tract can give final diagnosis generally and non-operational therapy can cure most of the patients with FSED.