非胃手术原因所致的术后胃瘫7例诊治分析

【目的】探讨引起非胃部手术后胃瘫的诊断和治疗方法。【方法】对2003～2009收治的7例非胃部手术后胃瘫患者的临床资料进行回顾性分析。【结果】7例患者结合症状和体征，并采用胃镜和上消化道造影诊断为胃瘫，及时采取胃肠减压、促胃动力、心理治疗、静脉营养等非手术综合治疗均得到治愈，疗程37．5（18～57）d。【结论】非胃手术后胃瘫诊断时必须排除机械性、器质性病变，胃镜和上消化道造影是诊断本病有价值的方法和手段，采用促胃动力药物在内的保守支持中西结合等综合治疗效果显著，同时须加强心理治疗，应避免手术治疗。

Diagnosis and Treatment of 7 Cases of Gastroparesis after Non-gastric Abdominal Operations

[Objective]To investigate the diagnosis and treatment of gastroparesis after non-gastric abdominal operations. [Methods]Clinical manifestation and therapeutic approaches of 7 cases with gastroparesis were analyzed retrospectively. [Results]All patients were diagnosed by endoscopy and upper gastrointestinal contrast, combined with signs and symptoms. They were cured with non-operative treatment, including gastrointestinal decompression, gastro kinetic agent, psychological care, intravenous nutrition, etc. The treatment duration was 37.5 （18-57） days. [Conclusion] The diagnosis of gastroparesis after non-gastric abdominal operations must exclude organic and mechanical illness. Endoscopy and upper gastrointestinal contrast are effective methods in the diagnosis of gastroparesis. Patients can recover spontaneously after a long period of supportive treatment combined with gastro-kinetic drugs, and psychological care should be intensified. Operation should be avoided.