胃癌根治术后10例胃瘫的诊治体会

Clinical analysis on postoperative gastroparesis syndrome(PGS) after radical gastrectomy for gastric carcinoma

目的：探讨胃癌根治性切除术后胃瘫综合征发生的病因、诊断和治疗方法。方法：对某医院237例胃癌根治术后病例资料进行回顾性分析。所有患者术前均经胃镜和病理检查明确诊断,手术方式为胃癌根治性切除毕Ⅰ或毕Ⅱ（结肠前）吻合术。结果：237例中出现10例胃瘫综合征,发生率为4.2%,7例患者在术后3-5d,3例患者发生在术后8-10d由流质改半流质时。结论：通过持续胃肠减压、应用促进胃肠蠕动药物、营养支持治疗和中成药等综合治疗,大部分可以达到满意的疗效。

Clinical analysis on postoperative gastroparesis syndrome（PGS） after radical gastrectomy for gastric carcinoma Tongling No.1 People＇s Hospital, Tongling 244000, Anhui ZUO Bo-hai, HU Qi-min Abstracts： Objective： To analyze the etiology, diagnosis and treatment of postsurgical gastroparesis syndrome （PGS） after radical gastrectomy for gastric cancer. Methods： Clinical data of 237 cases with radical gastrectomy for gastric cancer were collected .The clinic manifestation, process of diagnosis, treatment and high risk factors for PGS were analyzed. Results： 10 eases of patients sufferred from gastroparesis. Seven patients occurred in postoperative 3-5 days, and three patients occurred 8-10 days after fluid change semifluid. Conclusion： PGS is induced by multiple factors.Clinical manifestations and gastrointestinal radiography are useful for the diagnosis. And the patients can be cured by conservative treatment, through which the reoperation can be avoided.