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根治性胃大部切除术后胃瘫12例的诊断与治疗

Clinical Diagnosis and Treatment of 12 cases with postsurgical Gastroparesis after Radical Subtotal Gastrectomy
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摘要 目的:探讨胃癌根治性胃大部切除术后胃瘫的诊断与治疗方法。方法:对行根治性胃大部切除术的胃癌患者367例进行回顾性分析研究。结果:并发胃瘫12例中,BillrothⅠ式吻合4例,BillrothⅡ式吻合7例,Roux-y吻合1例。全组病人非手术治愈。结论:该并发症为一种功能性疾病,临床表现结合胃镜或胃肠造影可做出诊断,非手术治疗可获痊愈。 Objective: To investigate the diagnosis and treatment of the gastroparesis after radical subtotal gastrectomy.Methods:The clinical materials were retrospectively analyzed in 12 cases of gastroparesis after radical subtotal gastrectomy.Results: There were 12 patients ( 4 cases in Billroth's Ⅰ Gastrojejunostomy,7 cases in Billroth's Ⅱ Gastrojejunostomy and 1case in roux-y anastomosis ) suffering from gastroparesis in 367 patients, all of the them were cured by non-operation treatment.Conclusion: Clinical Manifestations combined with radiography of upper gastrointestinal tract or gastroscopy investigation are the main methods for diagnosis. This disease can be cured by non-operation treatment, and re-operation should be avoided.
出处 《安徽卫生职业技术学院学报》 2008年第5期38-39,共2页 Journal of Anhui Health Vocational & Technical College
关键词 胃瘫 诊断与治疗 手术 胃癌 Radical subtotal gastrectomy Gastroparesis Clinical diagnosis and treatment, Postoperative complication
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