36例侵及肠管卵巢癌切除术后消化道功能障碍的诊治与探讨  

Diagnosis and treatment of 36 cases with gastrointestinal dysfunction after advanced ovarian cancer with proliferation through intestine operation

作　　者：徐萍萍[1] 

机构地区：[1]解放军第八一医院妇产科,江苏南京210002

出　　处：《现代肿瘤医学》2010年第4期787-789,共3页Journal of Modern Oncology

摘　　要：目的:探讨侵及肠管卵巢癌切除术后消化道功能障碍的病因、发生机制、诊断和治疗方法。方法:对1998年1月至2008年5月收治的36例侵及肠管卵巢癌切除术后消化道功能障碍的临床资料进行回顾性分析。结果:消化道功能障碍均发生于妇科手术后3-12天。35例(97.2%)经非手术治疗于术后13-48天恢复胃肠动力,痊愈出院。3周内治愈17例(47.2%),4周内治愈32例(88.9%),1例(2.8%)因经济原因放弃治疗而死亡。结论:侵及肠管卵巢癌切除术后消化道功能障碍的病因是多因素的,消化道造影及胃镜检查是诊断胃排空障碍及鉴别机械性梗阻的重要手段。采取非手术疗法可治愈胃排空障碍,应尽量避免再次手术。Objective：To explore the etiology,mechanism,diagnosis and treatment of gastrointestinal dysfunction（GD）.Methods：Thirty-six patients with GD treated in our hospital from 1998 to 2008 were analyzed retrospectively.Result：GD usually occurred during 3-12 days postoperatively.The alimentary tract function of 35 patients（97.2%） who received non-operative therapy restored during 13-48 days postoperatively.One patient（2.8%） died from giving up treatment for economic reason.Seventeen（47.2%） cases recovered in three weeks.Thirty-two cases（88.9%）were cured in four weeks.Conclusion：GD is due to multiple factors.Gastroscopy and X-ray of digestive tract are valuable in the diagnosis of GD.GD can be cured by nonsurgical treatment,re-operation should be avoided.

关 键 词：晚期卵巢癌 消化道 功能障碍 手术 

分 类 号：R737.31[医药卫生—肿瘤]