胰十二指肠切除术后胃瘫18例临床分析

目的探讨胰十二指肠切除术后胃瘫综合征（PGS）的预防和治疗。方法对247例胰十二指肠切除术后发生PGS的18例（7．3％）患者的临床资料进行分析。结果18例PGS均发生于术后4～10d，经保守治疗PGS平均缓解时间为25．4d，无再次手术者。本组患者PGS的发生与手术技术的改进（χ^2=3．90，P〈0．05）和腹部并发症（χ^2=3．92，P〈0．05）关系密切。结论提高手术技巧、减少腹部并发症可以减少PGS的发生；采用保守治疗一般均可治愈，再次手术应谨慎。

Clinical analysis of 18 cases with postsurgical gastroparesis syndrome after pancreaticoduodenectomy

Objective To investigate the prevention and treatment for postsurgical gastroparesis syndrome (PGS) after panereatieoduodenectomy. Methods The data of 18 PGS cases after pancreaticoduodenectomy were analyzed. Results PGS of these 18 patients occurred within 4-10 days after operation. All of the PGS patients were cured with mean 25.4 days by conservative therapy and no one received re-operation. PGS was closely associated with the operation procedure (χ2=3.90,P<0.05)and postoperative complications (χ2=3.92,P<0.05). Conclusions Incidence of PGS can be decreased by improvement of surgical procedure and prevention of abdominal complications. PGS can be cured by conservative therapy generally. Re-operaton should be avoided.