结直肠癌根治术后胃瘫的临床分析

目的探讨结直肠癌术后胃瘫综合征(PGS)发生的病因、治疗方法和疗效。方法结直肠癌根治性切除术患者193例,术后出现PGS 9例,分析其临床表现、发生时间、恢复时间和诱发因素。结果年龄≥65岁、术后低蛋白血症和术后使用镇痛泵是PGS的高危因素。经非手术治疗,PGS在术后6周内一般可以恢复。结论对老年患者需慎用术后镇痛。胃瘫治疗需综合处理,胃镜刺激有助于PGS的治疗,应尽量避免再次手术。

Analysis of gastroplegia after radical operation of colorectal carcinoma

Objective To analyze the etiology,therapeutic methods and curative effect of postoperative gastroplegia syndrome(PGS) after radical colectomy and proctectomy.Methods Clinical data of 193 cases undergoing radical colectomy and proctectomy were collected.Of them,9 with PGS were enrolled.The clinical manifestations,occurrence time,recovery time,and risk factors for PGS were analyzed.Results Over 65 ages,postoperative hypoproteinemia and using analgesia pump were high risk factors for PGS in above cases.After non-operative treatment,the gatric motility usually recovered within 6 weeks postoperatively.Conclusions For patients of old age,analgesia pump should not be recommended.Comprehensive therapy is needed for PGS,gastroscopy examination is helpful for the remission of PGS,and reoperation should be avoided.