贲门癌行全胃切除术后肠套叠的防治  

Prevention and treatment of intussusception after total gastrectomy for cardiac cancer

作　　者：潘生华[1] 周茂松[1] 王进[1] 何国琴[1] 杨承凤[1] 

机构地区：[1]宝应县人民医院普外科,江苏宝应225800

出　　处：《中国肿瘤外科杂志》2015年第5期307-309,共3页Chinese Journal of Surgical Oncology

摘　　要：目的探讨贲门癌行全胃切除术后肠套叠的诊断、治疗以及预防措施。方法回顾分析7例贲门癌行全胃切除术后发生肠套叠的诊治经过。结果 7例患者经及时诊断及二次手术手法复位或肠切除术,康复顺利。结论贲门癌行全胃切除术后一旦明确诊断为肠套叠要及时手术探查,手法复位或肠切除术治疗有效。预防措施主要有行肠-肠吻合时勿使肠管悬吊成角,营养管过吻合口不宜过长,营养液输注需加温并控制滴速等。Objective To study the diagnosis, treatment and preventive measures of intussusception after total gastreetomy for cardiac cancer. Methods We make a retrospective analysis of 7 cases of intussusception after total gastreetomy for cardiac cancer. Results 7 patients were diagnosed timely and all of them were cured after manual reduction or resection of intestine in the second operation. Conclusions Once diagnosed as intussusception after total gastrectomy ,we should take second operation timely using manual reduction or intestine resection. Preventive measures include intestinal anastomosis that does not make suspended intestine angulation, nutrition tube should not be too long through the anastomosis, nutrition liquid must be heated and drop slowly.

关 键 词：贲门癌 全胃切除术 肠套叠 术后并发症 诊断 治疗 

分 类 号：R735.2[医药卫生—肿瘤]