胃代食管术后并发胃肠功能紊乱的临床分析  

A clinical analysis of gastrointestinal functional disorder following the esophagogastrostomy

作　　者：李谦平[1] 侯君毅[2] 左顺庆[1] 张军[1] 杨海泉[1] 林意[1] 

机构地区：[1]郧阳医学院附属太和医院胸心外科,湖北十堰442000 [2]郧阳医学院附属太和医院消化内科,湖北十堰442000

出　　处：《现代肿瘤医学》2009年第11期2122-2123,共2页Journal of Modern Oncology

基　　金：湖北省科技攻关资助项目(编号:NO2004AA301C97)

摘　　要：目的:探讨影响胃代食管术后胃肠功能紊乱的危险因素。方法:回顾性收集食管癌术后并发胃肠功能紊乱患者124例,并与同期未发生胃肠功能紊乱782例进行多因素比较分析。结果:>60岁、伴糖尿病、术前梗阻>1月、手术时间>3.5h、术后紧张忧虑、不同术式、未应用胃肠动力药患者胃肠功能紊乱的发生率比例高(P<0.05),与患者性别无关(P>0.05)。结论:年龄偏高、降糖尿病、梗阻时间长、手术时间长、术后紧张忧虑、颈部吻合、右胸三切口、未用胃肠动力药可能是胃代食管术后胃肠功能紊乱的危险因素。Objective：To Study the high risk factors of gastrointestinal function disorder caused by esophagogastro- stomy. Methods：Total of 124 patients with gastrointestinal function disorder after esophagogastrostomy from July 1993 to February 2008 were retrospectively analyzed. Results ： Gastrointestin function disorder was related to the age over 60 years, diabetes, obstruction of the esophagus over one month, operation time over three and half hours, postoperative tension and apprehension, neck anastomoses and unuse propulsives. Conclusion： Aged patienets, diabetes, obstruction of the esophagus, longer duration of the operation, postoperative anxiety, cervical anastomoses and unuse propulsives might be the high risk factors of gastrointestinal function disorder.

关 键 词：食管癌 胃肠功能紊乱 危险因素 

分 类 号：R735.1[医药卫生—肿瘤]