胃肠手术后胃瘫综合征的诊疗分析

目的探讨胃肠手术后胃瘫综合征诊断方法和治疗效果。方法对我院胃肠手术后发生胃瘫综合征的患者33例的临床资料进行分析,探讨胃肠手术后胃瘫综合征诊断方法和治疗效果。结果 胃肠造影和胃镜检查,是胃肠手术后胃瘫综合征的主要诊断方法 ;胃瘫综合征多发生于胃肠术后3⁷ d;33例患者中,给予保守的综合治疗后,胃肠功能均有明显的恢复,没有需要再次手术治疗的患者,患者恢复半流食1周后所有患者均未复发,全部出院。胃动力恢复时间107 d;33例患者中,给予保守的综合治疗后,胃肠功能均有明显的恢复,没有需要再次手术治疗的患者,患者恢复半流食1周后所有患者均未复发,全部出院。胃动力恢复时间10²6 d,平均(18.96±2.46)d。结论给予胃肠手术后胃瘫综合征患者保守的综合治疗,可以取得良好的治疗效果,避免再次进行手术,值得临床推广。

Analysis of Diagnosis and Treatment of Gastroparesis After Gastrointestinal Operation

Objective To explore the syndrome diagnosis and treatment of gastroparesis after gastrointestinal operation. Methods The clinical data of 33 patients in our hospital after gastrointestinal operation gastroparesis syndrome were analyzed, to explore syndrome diagnosis and treatment of gastroparesis after gastrointestinal operation. Results Gastrointestinal radiography and gastroscopy, were the main diagnostic methods of postsurgical gastroparesis syndrome after gastrointestinal operation; gastroparesis syndrome often occurs in patients after gastrointestinal operation 3~7 d; in 33 cases, given a comprehensive treatment of gastrointestinal function after conservative, has obvious recovery, no patient required again operation treatment, all patients had no recurrence recovery of semi-liquid diet after 1 weeks, all patients. Gastric motility recovery time 10-26 d, average （18.96±2.46）d. Conclusion The comprehensive treatment of the patients with conservative of postsurgical gastroparesis syndrome after gastrointestinal operation, can obtain a good therapeutic effect, avoid again operation, is worth the clinical promotion.