胃大部切除术后功能性排空障碍的诊治

目的 探讨胃大部切除术后功能性胃排空障碍的诊断方法和治疗措施。方法 对1994年1月～2004年12月收治的24例胃大部切除术后胃排空障碍的临床资料进行回顾性分析。结果 功能性胃排窄障碍均发生于胃大部切除术后3-12天。24例经非手术治疗于术后13-48天恢复胃动力，痊愈出院，3周内治愈10例（41．67％），4周内治愈14例（58．33％）。结论 胃大部切除术后功能性胃排空障碍的病因是多因素的，消化道造影及胃镜检查是诊断胃排夺障碍及鉴别机械性梗阻的重要手段。采取非手术疗法可治愈胃排空障碍，应尽量避免再次手术。

Functional delayed gastric emptying after subtotal gastrectomy clinical analysis of twenty-four cases

Objective To explore the diagnosis and treatment of functional delayed gastric emptying (FDGE). Methods twenty-four patients with FDGE treated in our hospital from Jan 1994 to Dec 2004 were analyzed retrospectively. Results FDGE usually occurred during 3-12 days postoperatively. The gastric function of 24 patients who received nonoperative therapy restored during13-48 days postoperatively. Ten(41.67%) cases recovered in three weeks. Fourteen cases(58.33%) were cured in four weeks. Conclusions FDGE is due to multiple factors. Gastroscopy and X-ray of digestive tract are valuable in the diagnosis of FDGE. FDGE can be cured by non-surgical treatment, reoperation should be avoided.