| 胃大部切除术后胃功能性排空障碍12例临床分析 |
| |
| 引用本文： | 王仁启,刘晓宇.胃大部切除术后胃功能性排空障碍12例临床分析[J].中国煤炭工业医学杂志,2011,14(2):165-167. |
| |
| 作者姓名： | 王仁启 刘晓宇 |
| |
| 作者单位： | 河南省濮阳市人民医院普外科,457000 |
| |
| 摘 要： | 目的探讨胃大部切除术后残胃功能性排空障碍发生原因以及预防和早期诊断治疗的方法。方法对2004—2009年收治的248例胃大部切除术患者的临床资料进行回顾性分析。结果本组共发生功能性胃排空障碍12例,发生率4.8%,均发生于术后3~14d。所有患者均经胃肠减压、应用促进胃肠蠕动的药物、中药、针灸等中西医结合非手术治疗后治愈出院。结论术后残胃和远端空肠正常的运动功能破坏是发生功能性胃排空障碍的主要原因,上消化道造影及胃镜检查是诊断本病、鉴别机械性梗阻的重要方法。采取非手术治疗一般均可治愈,针对胃排空动力学机制的改变采用促胃肠动力药可能收到较好的疗效。
|
| 关 键 词： | 胃大部切除术 功能性胃排空障碍 |
CLINITAL ANALYSIS AND TREATMENT OF FUNCTIONAL DELAYED GASTRIC EMPTYING AFTER SUBTOTAL GASTRECTOMY IN 12 CASES |
| |
| Wang Renqi,Liu Xiaoyu.CLINITAL ANALYSIS AND TREATMENT OF FUNCTIONAL DELAYED GASTRIC EMPTYING AFTER SUBTOTAL GASTRECTOMY IN 12 CASES[J].Chinese Journal of Coal Industry Medicine,2011,14(2):165-167. |
| |
| Authors: | Wang Renqi Liu Xiaoyu |
| |
| Institution: | Wang Renqi,Liu Xiaoyu.Department of Genery Surgery,The People's Hospital of Puyang Henan,Puyang 457000,China |
| |
| Abstract: | Objective To explore the etiology,diagnosis and treatment of functional delayed gastric emptying(FDGE) after subtotal gastrectomy.Methods The clinical data of 248 patients with gastrectomy from 2004 to 2009 were analyzed retrospectively.Results A total of 12 cases of delayed gastric emptying occurred 4.8%.Both of which were occurred 3-14 days after operation.All patients were discharged after conservative treatment.Conclusion normal motor function damage of postoperative residual stomach and distal jejunum ... |
| |
| Keywords: | subtotal gastrectomy FDGE |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
