腹部术后胃瘫的诊断和治疗  

Diagnosis and treatment of post-abdominal surgical gastroparesis

作　　者：李辰焰[1] 徐颖 

机构地区：[1]内蒙古赤峰市医院肝胆外科,内蒙古赤峰024000 [2]内蒙古赤峰市卫生监督所,内蒙古赤峰024000

出　　处：《吉林医学》2007年第13期1463-1464,共2页Jilin Medical Journal

摘　　要：目的:探讨腹部术后胃瘫的可能危险因素、诊断及治疗方法。方法:对26例腹部术后胃瘫患者的潜在危险因素、临床表现、诊断方法、治疗手段进行回顾性分析。结果:本组中,术前长期流出道梗阻、恶性肿瘤、胰十二指肠切除术后、无胃切除的胃空肠吻合术的患者发病率较高,胃镜、上消化道造影是诊断本病有价值的方法,经保守治疗后胃肠动力一般可在术后5周内恢复正常。结论:采用促动力药物在内的保守支持治疗是治疗腹部术后胃瘫的有效手段,应避免再手术。　Objective To investigate the potential risk factors,diagnosis and treatment of post-abdominal surgical gastroparesis.Method A retrospective analysis of the potential risk factors,clinical manifestations,diagnostic methods and treatment approaches was performed on 26 patients with post-abdominal surgical gastroparesis.Results The incidence of gastroparesis was higher in patients with chronic outlet obstruction before the operation or malignancy,andpatients receiving Whipple procedure or non-gastrectomy gastrojejunostomy.Gastroscopy and upper gastrointestinal series served as a valuable measurement in diagnosis.In general,GI motility could be restored after 5 weeks of conservative therapies.Conclusion Conservative supportive therapies,including drugs promoting gastric motility,are effective in the treatment of post-abdominal surgical gastroparesis,and a second surgery should thus be avoided.

关 键 词：腹部外科学 并发症 胃瘫 

分 类 号：R656[医药卫生—外科学]