食管癌贲门癌术后胸胃排空障碍的临床分析

目的探讨食管癌贲门癌术后胸胃排空障碍的诱因、诊断和治疗。方法回顾性分析施行3070例食管癌贲门癌切除术后发生胸胃排空障碍35例患者的临床资料。结果本组病例发生胸胃排空障碍35例,发生率1.14%,其中机械性胸胃排空障碍9例（均再次手术治疗）,功能性胸胃排空障碍26例。治愈34例（97.14%）,死亡1例。结论上消化道造影、胃镜是鉴别机械性胃排空障碍和功能性胃排空障碍的重要方法 ,对术后机械性胃排空障碍应采取手术治疗,而功能性胃排空障碍采取保守治疗多能好转。

Clinical analysis of disturbance of intrathoracic gastric emptying after resection of esophageal or gastric cardial carcinoma

Objective To explore the risk factors and the therapeutic effect of disturbance of intrathoracic gastric emptying（DIGE） after resection of esophageal or gastric cardiac carcinoma.Methods A retrospective analysis of clinical data of 3070 patients underwent with esophageal or cardiac cancer resection were analyzed.Results The incidence rate of disturbance of intra-thoracic gastric emptying was 1.14%.Among patients with DIGE,26 cases were functional disturbance,and 9 cases were mechanical disturbance.Of those patients with DIGE,34 cases were cured and 1 case died.Conclusions Upper gastrointestinal radiography and endoscopy are important to differentiate function DIGE from mechanical DIGE.Conservative therapy should be used for the patient s with functional DIGE,and reoperation for mechanical DIGE.