胃部手术后胃瘫发病的回顾性分析  

Retrospective study on the incidence of postsurgical gastroparesis syndrome

作　　者：聂磊[1] 高峰[1] 乔峰[1] 吴波[1] 王胜利[1] 康俊升[1] 

机构地区：[1]解放军88医院普外科,山东泰安271000

出　　处：《实用医药杂志》2014年第6期484-485,共2页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨胃部手术后胃瘫的病因、发生机制、诊断和治疗方法。方法对2002年12月—2011年12月收治的15例胃部手术后胃瘫的临床资料回顾并结合文献进行分析。结果 15例胃瘫患者发生于手术后3～12d,经非手术治疗于术后14～63 d恢复胃动力,均痊愈出院。结论胃部手术后胃瘫的病因复杂,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。胃部手术后胃瘫非手术治疗疗效确切,应尽量避免再次手术。Objective To explore the etiology,mechanism,diagnosis and treatment of postsurgical gastroparesis syndrome（PGS）. Methods The 15 patients with PGS treated in author＇s hospital from Dec. 2002 to Dec. 2011 were analyzed retrospectively. Results PGS usually occurred during 3-12 days postoperatively,the 15patients received non-operative therapy and restored during 14-63 days postoperatively. Conclusion The pathogenesis of PGS is of multiple factors. Gastroscopy and X-ray of digestive tract are valuable in the diagnosis of PGS. PGS can be cured by non-surgical treatment,re-operation should be avoided as possible as.

关 键 词：胃潴留 排空障碍 胃瘫 

分 类 号：R656[医药卫生—外科学]