上腹部手术后胃排空障碍32例分析

Delayed gastric emptying after abdominal surgery on analysis of 32 cases

目的探讨上腹部手术后胃排空障碍的病因、诊断和治疗方法。方法对2005年1月-2012年12月诊治的32例因上腹部手术后发生胃排空障碍患者的临床资料进行回顾性分析。结果32例患者胃排空障碍均发生于手术后5—8d，其中胃部手术占40．63％。术中出血量100～300mL者15例，9例术中出血量〉350mL，占75％。30例经保守治疗治愈，占93．75％，2例患者分别于术后第20天及31天再次手术后治愈，占6．25％。结论术后胃排空障碍的发生与手术部位、手术方式和手术的副损伤程度密切相关。非手术治疗措施是治愈胃排空障碍的主要方法。

Objective To investigate the etiology, diagnosis and treatment of the delayed gastric emptying after abdominal surgery. Methods From January 2005 to December 2012, the clinical data on diagnosis and treatment of 32 cases of delayed gastric emptying after abdominal surgery were retrospectively analyzed. Results Delayed gastric emptying occurred in 32 cases after 5-8 days after the surgery, which accounted for 40.63% of gastric sur- gery. Blood loss was 100-300 mL in 15 cases, 9 cases＇ blood loss was more than 350 mL, accounting for 75%. Thirty cases were cured by conservative treatment, accounting for 93.75% , 2 cases on the 20th day after surgery and the 31th day after surgery to accepted surgery again, accounting for 6.25%. Conclusion The delayed gastric emptying after surgery is closely related to surgical site, methods and surgical sub-injury. Non-occurrence of surgical treatment is the main method to cure this disease.