食管贲门癌术后胸胃排空障碍原因的初步探讨及防治  

Preliminary study on etiologies, treatments and prophylaxis for delayed thoracostomach emptying in post-surgical patients with esophageal or gastric cardiac cancer

作　　者：朱强[1] 臧琦[1] 李诗杰 蒋仲敏[1] 宋晓明[1] 

机构地区：[1]山东省千佛山医院胸外科,济南250014 [2]威海市初村医院

出　　处：《中国综合临床》2012年第6期588-590,共3页Clinical Medicine of China

摘　　要：目的探讨食管癌、贲门癌术后胸胃排空障碍的病因及其防治措施。方法回顾性分析2000年1月至2011年6月1985例食管、贲门癌术后发生胸胃排空障碍的24例患者临床资料。结果18例患者经包括内镜扩张术在内的保守治疗而痊愈，6例经手术治疗治愈。结论术后发生胸胃排空障碍的主要病因是胃瘫综合征，非手术治疗即可治愈；机械性排空障碍原则上应手术治疗。胃镜检查是诊断和鉴别术后胸胃排空障碍的最重要方法。胃镜扩张术是重要的治疗手段。Objective To investigate etiologies, treatment approaches and prophylaxis for delayed thoracostomach emptying in esophageal or gastric cardiac cancer patients treated with esophagogastrostomy. Methods We performed a retrospective review of the clinical data of 24 patients suffering delayed thoracostomach emptying among 1985 post-surgical patients with esophageal or gastric cardiac cancer from January 2000 to June 2011. Results Eighteen patients in the 24 patients were cured by conservative managements including endoscopic dilatation procedures. The remaining 6 patients were treated with surgery. Conclusion The main etiology of delayed thoracostomach emptying is gastroparesis, which can be treated with nonsurgical conservative approaches; whereas mechanical emptying disturbance requires surgery. Endoscopic examination appears to be the most important diagnostic approach in identifying and differentiating the etiologies of delayed thoracostomach emptying in post-surgical patients. Endoscopic dilatation procedure is proved to be effective for the treatment of delayed thoracostomach emptying in post-surgical patients in this study.

关 键 词：食管癌 贲门癌 胸胃排空障碍 

分 类 号：R735.1[医药卫生—肿瘤]