胃癌根治术后功能性胃排空障碍31例临床观察及处理

目的：探讨胃癌根治术后功能性胃排空障碍的临床特点及治疗方法。方法：对我科1998年1月～2009年1月胃癌根治术后发生功能性胃排空障碍31例临床资料进行回顾性分析。结果：术前合并幽门梗阻（完全性及不完全性）病人功能性胃排空障碍发生率高达8.28%,显著高于术前未合并幽门梗阻病人的2.15%（P〈0.05）。31例确诊功能性胃排空障碍后均予非手术综合治疗,均治愈。结论：功能性胃排空障碍是胃癌根治术后相对少见的近期并发症,术前合并幽门梗阻及毕Ⅱ式吻合术,清扫淋巴结范围广为其易发因素,通过上消化道造影动态检查一般能明确诊断,确诊后采用非手术综合治疗多可治愈。

Clinical Analysis of 31 Cases of Stomach Emptying Disorder after Radical Correction of Stomach Cancer

Objective： To assess the clinical features and treatment of the functional stomach emptying disorder （FSED） after radical correction of stomach cancers. Methods： The clinical date of 31 cases of FSED after radical correction of stomach cancers were retrospectively analyzed. Result. The incidence of FSED in patients with pyloric obstruction before operations was up to 8.28 %, significantly higher than in those without pyloric ob- struction before operation 2.15 % （P 〈 0.05）. Thirty - one cases of FSED were subjected to non- operational therapy and cured. Conclusion： FSED is an early complication after radical correction of stomach cancers. Pyloric obstruction, Billroth Ⅱ gastroenterostomy and extent of lymphoadeetomy are its causative factors. Dynamic opacifi- cational studyof upper gastrointestinal trate can give final diagnosis generally and non - operational therapy can cure most of the patients with FSED.