摘要
目的:探讨胃大部切除术后功能性胃排空障碍的临床特点及治疗方法。方法:回顾分析胃大部切除术后患者的临床资料。结果:行毕Ⅱ式胃空肠吻合术患者胃大部切除术后残胃功能性排空障碍发生率为7.0%,显著高于毕Ⅰ式的3.6%(P<0.01)。27例患者确诊残胃功能性排空障碍后,给予非手术综合治疗10～64天,平均23.4天治愈出院。随访22例,6个月无复发。结论:残胃功能性排空障碍是胃大部切除术后早期常见并发症,毕Ⅱ式吻合术为易发因素,经上消化道造影及胃镜检查可确诊,采用非手术综合治疗多可治愈。
Objective： To study the clinical characteristics and treatment of functional stomach evacuating disturbance （ FSED ） after subtotal gastrectomy. Methods：The clinical data of 27 patients with FSED after subtotal gastrectomy were analysed. Results： The FSED incidence（7.0% ） of the patients treated with Billroth Ⅱ gastroenteorstomy was higher than that（3.6% ） of the patients treated with Billorth Ⅰ gastorenteorstomy （ P 〈 0. 01 ）. 27 case patients were treated with non - operative method for 10 days or 64 days,averaging 23.4 days,then all cured and discharged from hospital. 22 patients were followed - up for six months. There was no recurrence. Conclusion： FSED is a common complication in early stage after gastrectomy. The incidence is high in the patients combined with pyloric obstruction be-fore operation or treated with Billroth Ⅱ gstroenterostomy. Most of them can be diagnosed by contrast examination of upper digestive tract and gastroscopy. When the diagnosis ismade, most of them can be cured with non -operative method.
