摘要
目的 探讨腹部手术后胃排空障碍发生的原因、诊断及治疗。方法 对 1993～ 1998年施行的 2 6 2例胃大部切除术及其它腹部手术的临床资料进行回顾性分析。结果 本组共发生胃排空障碍11例 ,其中胃大部切除术后胃排空障碍 8例 ,占胃大部切除术的 3 .1% ,占胃排空障碍的 73 % ,所有胃排空障碍患者均经保守治疗痊愈出院 ,2周内治愈的占 9.1% ,3周内治愈的为 45 % ,2月内治愈的为 91%。结论 腹部手术后胃排空障碍是综合因素所致 ,但精神因素、胃本身病变的严重程度和B Ⅱ式与胃排空障碍的发生关系密切。消化道造影及胃镜检查是诊断本病及鉴别机械性梗阻的重要方法 ,采取保守治疗完全可治愈本病 ,应避免再手术 ,激素和促进胃动力药物有助于本病的治疗。
Objective To treat of the etiology,diagnosis and treatment of gastroparesis after abdominal surgical operation.Methods Clinical data from of 262 patients with gastroctony and other patients with abdominal surgical operation 1993 to 1998 were analyzed retrospectively.Results Gastroparesis occurred in 11 patients in the group,Including 8 with gastroparesis after gastrectomy.This accounted for 3.1% of 262 patients with gastrectomy.This accounted for 73% of 11 patients with gastrooparesis.All the 11 patients recovered with medical therapy and were discharged 9.1% recovered within 2 weeks,46% with 3 weeks,91% with in 3 months.Conclusion The synthetical factor may be the cause of gastroparesis after abdominal surgical operation,but mental factor and serions degree of gastric disease after a Billroth Ⅱ type gastrojejunostomy are closely correlated to gastroparesis.An upper gastrointestinal radiography and endoscopy are the important methods of diagnosis of gastroparesis and differential diagnosis with mechanical ileus.Gastrointestinal motility can return spontaneously afetr a long period of medical therapy and there is no need for reoperation for gastric stasis.Reoperation should be avoided.Some hormonal drugs and glucocorticoid are helpful in the treatment of gastroparesis.
出处
《河北医药》
CAS
2000年第11期811-812,共2页
Hebei Medical Journal
