术后功能性胃排空障碍37例临床诊治分析  

Analysis of diagnosis and treatment of 37 cases with functional delayed hastric emptying after abdominal operation

作　　者：宋丰利 常家聪[2] 曹先东[2] 郭爱军[2] 鲁明典[2] 陈立权[2] 

机构地区：[1]庐江县万山镇医院普外科,231500 [2]安徽医科大学第一附属医院普外科,合肥230022

出　　处：《安徽医学》2011年第3期324-326,共3页Anhui Medical Journal

摘　　要：目的探讨术后功能性胃排空障碍的病因、诊断及治疗方法。方法回顾分析自2002年7月至2008年6月安徽医科大学第一附属医院收治的37例手术后功能性胃排空障碍的临床资料。结果功能性胃排空障碍常发生在腹部手术后4-10d,36例经非手术治疗后12-96 d恢复胃动力,痊愈出院。1例术后半年仍恢复不理想,行手术治疗后痊愈出院。结论术后功能性胃排空障碍是多因素所致,消化道造影及胃镜检查是诊断本病及鉴别机械性梗阻的重要方法,采用非手术保守治疗一般均可治愈,必要时可考虑行手术治疗。Objective To explore the etiology、diagnosis and treatment of functional delayed gastric emptying;Methods Analyzed retrospectively the clinical data of 37 patients with FDGE treated from July 2002 to June 2008.Results FIDGE usually occurred in 4-10 days after operation.36 patients recovered in 12-96 days after operation.With non-operation treatment.1 patient need operation to recover.Conclusion FDGE is due to multiple factors.Gastroscopy and upper gastrointestinal radiography are valuable in the diagnosis of FDGE and differential diagnosis with mechanical intestinal obstruction.FDGE can be cured by non-operation treatment,while operation is feasible when necessary.

关 键 词：胃排空障碍 功能性 诊断 治疗 

分 类 号：R656[医药卫生—外科学]