摘要
目的总结胃转流手术治疗2型糖尿病术后并发症,探讨其防治方法。方法对2012年5月至2014年5月180例接受胃转流手术的2型糖尿病患者术后并发症进行回顾性分析。结果本组患者术后近期并发症总发生率为16.11%(29/180),其中术后胃瘫综合征发生率最高为7.78%(14/180);其次是术后胃出血2.78%(5/180);术后急性左心衰竭2.22%(4/180);术后全身瘙痒2.22%(4/180);术后烟雾病0.55%(1/180);术后切口液化0.55%(1/180)。结论术后胃瘫综合征是胃转流手术后最常见的并发症,其次是术后胃出血,以上并发症如术前采取预防措施、术后采用积极治疗手段均可避免和治愈。
Objective To summarize the experience of the prevention of postoperative complications after Roux-en-Y Gastric bypass operation for type 2 Diabetes mellitus . Methods A retrospectively analysis was performed from May 2012 to May 2014, postoperative complications of 180 patients with type 2 diabetes mellitus who received Roux-en-Y Gastric bypass operation . Results The early postoperative complication rate was 16.11% （ 29/180 ）, including most common complication of postoperative gastroparesis of 7.78% （14/180）, postoperative bleeding of 2.78% （5/180）, acute postoperative left heart failure of 2.22% （4/180）, postoperative pruritus of 2.22% （4/180）, postoperative moyamoya disease of 0.55%（1/180）, and postoperative incision fat liquefaction of 0.55% （1/180）. Conclusion Postoperative gastroparesis syndrome and bleeding is the most common postoperative complication after Roux-en-Y Gastric bypass treatment for the type 2 diabetes mellitus .All of them could be avoided and cured if we take preventive management and adopt active therapeutic treatment .
出处
《中华普外科手术学杂志（电子版）》
2016年第3期225-227,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
