胃部手术后胃瘫综合征的临床疗效分析

目的探讨胃手术后胃瘫综合征的危险因素及诊断、治疗方法。方法选取2009年1月～2012年11月来我院行胃手术的343例患者为研究对象,回顾性分析14例并发胃瘫综合征患者。考察患者的临床表现、治疗方法以及高危因素,并对其相关数据进行统计分析及比较。结果14例患者通过非手术治疗全部痊愈,平均治愈时间为22d。围手术期存在精神焦虑抑郁等不良情绪、术前发生胃流出道梗阻和急诊手术的患者术后胃瘫综合征发生率更高。结论正确的诊断和治疗术后胃瘫综合征,可以避免二次手术。非手术治疗患者伤害小,身体恢复快。在临床上取得了满意的效果。

Clinical analysis on gastroparesis syndrome after gastric operation

Objective To explore the risk factors, diagnosis and treatment of gastric paralysis after gastric operation. Methods A total of 343 cases treated by gastric operation in my hospital from Jan. 2009 to Nov. 2012 were selected as research object. Fourteen cases with PG$ were retrospectively analyzed. The risk factors, diagnosis and treatment of gastric paralysis were investigated, and the related data was statistically analyzed and compared. Results All the pa- tients recovered through non-operative therapy. The average healing time was 22 days. PGS had higher occurrence in patients with anxiety and depression during operation, gastric outlet obstruction and emergency operation. Conclusion Correct diagnosis and treatment of postoperative gastric paralysis syndrome can avoid secondary operation. Non-opera- tive therapy has minimal injury and quick recovery which has achieved satisfactory results in clinic.