胃癌根治术后残胃功能性排空障碍的诊断和治疗  

Diagnosis and treatment of functional delayed gastric emptying after radical inttervention of gastric carcinoma

作　　者：卢业才[1] 李启信[1] 束庆兵[1] 郭峰[1] 王光庆[1] 

机构地区：[1]巢湖市第一人民医院普外科,安徽巢湖238000

出　　处：《皖南医学院学报》2009年第6期431-432,共2页Journal of Wannan Medical College

摘　　要：目的:探讨胃癌根治术后残胃功能性排空障碍(FDGE)的病因、诊断及治疗方法。方法:对2004年1月～2008年12月302例胃癌根治术后的病例资料进行回顾性分析。结果:302例患者中有12例出现FDGE,发生率为4.0%。诊断根据临床表现、上消化道造影和胃镜检查确定。其中毕Ⅱ胃肠吻合术患者FDGE的发病率为5.6%,显著高于毕Ⅰ式的2.4%。所有患者经保守治疗后,均于10～36d内治愈。结论:FDGE是胃术后的近期并发症,毕Ⅱ式吻合术后易发。上消化道造影和胃镜检查是诊断本病的重要方法,采用非手术治疗一般均可治愈。Objective：To investigate the diagnosis and treatment and etiology of functional delayed gastric emptying（FDGE） after radical surgery of gastric carcinoma. Methods： The clinical data were retrospectively studies in 302 patients undergone radical correction of gastric cancer between＇Jan. 2004 and Dec. 2008. Results： FDGE occurred in 12 out of 302 patients（4.0% ）. The diagnosis was confirmed by clinical features, gastric contrast examination gastroscopy. The incidence of FDGE was 5.6% in the patients treated with Billroth Ⅱ gastroenterostomy as compared with those undergone Billroth I procedures （2.4%）. The total 12 patients recovered within 10-36 days by conservative treatment. Conclusion ： FDGE is an earlier complication in patients after gastrectmny and fi＇equently associated with Billroth Ⅱprocedures. Upper gastrointestinal contrast examination and gastroscopy are helpful in the diagnosis of FDGE and conservative treatment is recommended in treatment of this disease

关 键 词：胃肿瘤 胃排空障碍 诊断 治疗 

分 类 号：R656.61[医药卫生—外科学] R735.2[医药卫生—临床医学]