食管癌术后并发胃排空障碍30例分析

Analysis of 30 cases of delayed gastric emptying after radical resection of esophageal cancer

目的探讨食管癌根治术后胃排空障碍(胃瘫)的高危因素和治疗。方法将食管癌根治术后并发胃瘫的30例患者设为胃瘫组,与同期随机选取的食管癌术后未发生胃瘫的60例患者进行比较,对上述临床资料进行回顾性分析。结果高龄、术前伴有糖尿病、颈部吻合和术时>3h是并发胃瘫的高危因素(P<0.05),2组性别及肿瘤分期差异无统计学意义(P>0.05)。结论高龄、术前伴有糖尿病、颈部吻合和手术时间长是食管癌术后发生胃瘫的高危因素。对于机械性胃瘫需及时手术治疗,而功能性胃瘫经非手术治疗均可治愈。

Objective To study the risk factors and treatment of delayed gastric emptying （gastroparesis） after radical resection of esophageal cancer. Methods Totally 30 patients with gastroparesis were set to a gastroparesis group, comparing with 60 patients without gastroparesis that were randomly selected from patients who received radical resection of esophageal cancer during the same period. The clinical data were retrospectively collected and analyzed. Results The old ages, diabetes, cervical anastomosis, and the time of operation〉 3 hours significantly influenced the occurrence of gastroparesis （P 〈 0. 05）, and there was no significant difference in gender and tumor staging between two groups （P 〉0. 05） . Conclusions The old ages, diabetes, cervical anastomosis and the time of operation 〉 3 hours are the high risk factors of gastroparesis after radical resection of esophageal cancer. Mechanical gastroparesis requires timely surgical treatment, while functional gastroparesis can always be cured by non-surgical treatment.