腹部手术后胃瘫综合征的诊治分析

目的:探讨手术后胃瘫综合征发生的病因,诊断方法和治疗手段。方法:分析28例腹部手术后出现胃瘫患者,分析其临床表现、发生时间、恢复时间和诱发因素。结果:高龄、接受全麻及近端胃大部切除术、术后应用镇痛泵的患者发病率高,临床表现、泛影葡胺造影检查及胃镜检查是诊断本病的主要手段;大部分患者经保守治疗,9周内恢复正常。结论:高龄、麻醉及手术方式、术后应用自控镇痛泵及精神因素与手术后胃瘫发生密切相关。综合保守治疗是治疗胃瘫的有效方法。

Diagnosis and treatment of postsurgical gastroparesis syndrome

Objective:To approach the etiological factor,diagnostic method and therapeutic measure of postsurgical gastroparesis syndrome(PGS).Methods: The clinical data of 28 patients with PGS were retrospectively reviewed.The clinical manifestation,occurrence time,recovery time and causative factor were analyzed.Results: The risk factors of PGS included the senility,general anesthesia,proximal subtotal gastrectomy and postoperative patient-controlled analgesia.The diagnosis of PGS was mainly based on the clinical manifestation,upper gastroen terography with meglumine diatrizoate and gastroscopy.Most of patients could be recovered by means of conservative treatment within 9 weeks.Conclusion: Senility,general anesthesia,surgical technique and patient-controlled analgesia after operation may be the high risk factors of PGS.Combined conservative treatment is effective for this disease.