| 胃大部切除术后胃排空障碍的病因及诊治分析 |
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| 引用本文： | 李军. 胃大部切除术后胃排空障碍的病因及诊治分析[J]. 临床医药实践, 2012, 21(5): 340-341 |
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| 作者姓名： | 李军 |
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| 作者单位： | 巴中市中医院,四川巴中,636000 |
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| 摘 要： | 目的:探讨胃大部切除术后胃排空障碍(FDGE)发生的病因、诊断方法及治疗手段。方法:对2007年5月—2011年5月因胃大部切除术后出现胃排空障碍的患者的临床资料进行回顾性分析。结果:观察期间行胃大部切除术的134例患者中,8例出现胃排空障碍,发生率为6%。术前流出道梗阻和胃肠手术吻合方式是诱发本病的危险因素。X线口服造影、胃镜是诊断FDGE的重要手段。8例经对症保守治疗13~35 d后均治愈。结论:胃大部切除术后功能性胃排空障碍在临床上的发生率并不少见,准确诊断及积极治疗十分重要。
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| 关 键 词： | 胃大部切除术 功能性胃排空障碍 诊断 |
The clinical analysis of functional delayed gastric emptying after subtotal gastrectomy |
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| LI Jun. The clinical analysis of functional delayed gastric emptying after subtotal gastrectomy[J]. Proceeding of Clinical Medicine, 2012, 21(5): 340-341 |
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| Authors: | LI Jun |
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| Affiliation: | LI Jun(The Traditional Chinese Medical Hospital of Bazhong,Bazhong 636000,China) |
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| Abstract: | Objective:To analyze the etiology,diagnostic methods,treatment of functional delayed gastric emptying(FDGE) after subtotal gastrectoray.Methods:The clinical datas of patients with functional delayed gastric emptying after subtotal gastrectomy were analyzed retrospectively from May 2007 to May 2011.Results:A total of 134 patients were underwent subtotal gastrectomy in our hospital.8 case(6%) of functional delayed gastric emptying were occurred after the operation.Preoperative pyloric obstruction and the type of gastrojejunostomy were high risk factors for FDGE of above cases.X-ray and gastroscopy were valuable in diagnosis gastroparesis.All the 8 patients were fully recovered from gastroplegia after 13～35 d expectant treatment.Conclusion:Patients with functional delayed gastric emptying is scarce,exact diagnosis and active treatment is very important. |
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| Keywords: | subtotal gastrectomy functional delayed gastric emptying diagnosis |
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