腹部手术后胃瘫28例临床分析

目的探讨腹部手术后胃瘫的病因、发生机制、诊断和治疗方法。方法对1995年1月~2005年10月收治的28例腹部手术后胃瘫患者诊治资料进行回顾性分析。结果胃瘫均发生于腹部手术后5~12天。均经非手术治疗于术后10~41天恢复并痊愈出院,其中3周内治愈14例(50%),4周内治愈25例(89.3%)。结论腹部手术后胃瘫是由综合因素引起,体质差、手术创伤大和高龄可能为主要因素,消化道造影及胃镜检查是诊断胃瘫的重要手段。非手术疗法可治愈胃瘫,不应再次手术。

Clinical Analysis of Gastroparesis after Abdominal Operations 28 Cases

Objective To investigate the etiology,mechanism,diagnosis and treatment of gastroparesis after abdominal operations.Methods 28 patients with gastroparesis treated in our hospital from Jan 1995 to Oct 2005 were analyzed retrospectively.Results Gastroparesis usually occurred during 5~12days postoperatively.The gastric function of all patients who received non-operative therapy restored during 10~41 days postoperatively.14(50%) cases recovered in three weeks.25(89.3%) cases were cured in four weeks.Conclusion Gastroparesis is due to multiple factors.the main risk factors are malnutrition,complicated major operation,the elderly.X-ray of digestive tract and gastroscopy are valuable in the diagnosis of gastroparesis.Gastoparesis can be cured by non-surgical treatments,re-operation should be avoided.