食管癌切除术后并发胸胃排空障碍的诊断与防治  

DIAGNOSIS, PREVENTION AND TREATMENT FOR DISTURBANCE OF INTRATHORACIC GASTRIC EMPTYING AFTER RESECTION OF ESOPHAGEAL CARCINOMA

作　　者：张万青[1] 何悦概[1] 钱定一[1] 张光休[1] 苏廷宝[1] 李杰[1] 程可洛[1] 陈捷[1] 

机构地区：[1]广东医学院附属医院胸心外科

出　　处：《广东医学院学报》1996年第2期121-123,共3页Journal of Guangdong Medical College

摘　　要：从１９７３年１月至１９９５年２月治疗食管癌切除术后胸胃排空障碍１１例。１０例行１１次手术：膈下胸胃十二指肠吻合术１例，胸内胸胃空肠合术２例，幽门区纵行全层切开横行缝合术１例；粘连松解术７例，其中同时行十二指肠松解术１例，幽门成形术２例。术后均解除梗阻。还就此症的诊断和预防作了讨论。Eleven patients with disturbance of intrathoracic-gastric emptying after resection of esophageal carcinoma were treated from Jan 1973 to Feb 1995.10 of them underwent 11 operations. Intrathoracicgastroduodenoenterostomy below diaphragm was done on 1 case;Intrathoracicgastromesteostomy in thoracic plearal cavity on 2 cases;and pylorotomy on 1 case.7 cases had adhesiontomy (Duodenolysis was simultaneously done on 1 case,and pyloroplasty on 2 cases of the patients).The disturbance in 10 patients disappeared.Its diagnosis and prevention are also discussed in detail.

关 键 词：食管肿瘤 外科手术 并发症 胃排空 诊断 防治 

分 类 号：R735.106[医药卫生—肿瘤]