腹部术后胃瘫综合征的病因及治疗分析  

Etiology and Treatment of Gastroparesis Syndrome Following Abdominal Operation

作　　者：王国鑫[1] 耿东华[2] 刘金刚[2] 

机构地区：[1]中国医科大学附属盛京医院内镜治疗中心,辽宁省沈阳市110004 [2]中国医科大学附属盛京医院普外六科

出　　处：《中国全科医学》2008年第5期416-418,共3页Chinese General Practice

摘　　要：目的总结腹部术后胃瘫综合征的临床表现及诊断方法,对其病因及治疗进行分析。方法对腹部术后并发胃瘫综合征的52例患者的临床资料进行回顾性分析。结果术后胃瘫综合征的临床表现主要为腹胀、呕吐,无明显腹痛,大多数患者排气正常,消化道X-线钡餐造影提示胃蠕动差,胃镜检查吻合口通畅。52例患者经胃肠减压,营养支持,维持水、电解质代谢平衡以及应用促进胃肠蠕动的药物及中西医结合治疗等非手术治疗后症状均缓解。结论腹部术后胃瘫综合征的诊断主要依据临床表现;胃镜检查有其重要价值;排除机械性梗阻后,采取非手术治疗可取得满意疗效。Objective To summarize the clinical presentations and diagnostic mode gastroparesis syndrome following abdominal operation, and analyze its etiology and treatment. Methods The retrospective analysis was used for the clinical data of 52 patients with gastroparesis syndrome complicated after abdominal operation. Results The clinical manifestations of postoperative gastroparesis were abdominal distention, vomit, no obvious abdominal pain and normal gas discharge by anus in majority patients, weak enterocinesia was shown by barium meal X - ray of alimentary canal opacification, and unobstructed anastomotic stoma shown by gastroscopy. All the symptoms of 52 patients were relieved by gastrointestinal decompression, nutrition support, water - electrolyte metabolism balance, gastrointestinal motility pharmacotherapy and combined treatment with integrated traditional Chinese medicine and western medicine. Conclusion The diagnosis of postoperative gastroparesis syndrome mainly depends on clinical manifestations. Gastroscopy is of significant value in diagnosis. Non - surgical therapies may be taken and have satisfactory therapeutic effect as long as mechanical is excluded.

关 键 词：胃瘫综合征 术后并发症 腹部 口胃镜检查 

分 类 号：R573.5[医药卫生—消化系统]