腹部手术后功能性胃排空障碍的诊断和治疗

目的 探讨腹部手术后发生功能性胃排空障碍的原因及诊断和治疗方法。方法 回顾性分析该院近12年来腹部手术后发生功能性胃排空障碍的18例患者的临床资料。结果 临床表现、胃镜检查及胃肠碘油或稀钡造影是诊断本病的主要手段。经综合保守治疗后，胃肠动力可在术后3～5周内恢复正常。结论 综合保守治疗是治疗功能性胃排空障碍的有效方法，应避免再次手术。

Diagnosis and treatment of functional delayed gastric emptying after abdominal surgery

Objective To study the pathogenesis diagnosis and treatment of functional delayed gastric emptying after abdominal operatation. Methods The clinical data from 18 cases of functional delayed gastric emptying after abdominal operation during the past 12 years was analyzed retrospectively. Results The clinical man if estion gastros copy and lipidol radiography or dilute barium medical examination were the main diagnostic methods and norm algastrointes tinal movement was achieved mostly in 3-5 weeks postoperatively by conservative treatments. Conclusion Combines conservative treatment is the effec-tive treatment method of functional delayed gastric emptying and reoperation should be avoided.