胰十二指肠切除术后胃瘫非手术综合治疗效果分析  

Comprehensive treatment on gastroparesis syndrome after pancreatoduodenectomy

作　　者：淦宇 方程 杨小李 苏松 李波 Gan Yu;Fang Chen;Yang Xiaoli;Su Song;Li Bo(Department of Hepatobiliary Surgery,Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan,646000 China)

机构地区：[1]西南医科大学附属医院肝胆外科,四川泸州646000

出　　处：《医药前沿》2019年第33期24-25,共2页Journal of Frontiers of Medicine

摘　　要：目的:探讨胰十二指肠切除术后胃瘫非手术综合治疗方法,为临床治疗方案的选择提供依据.方法:西南医科大学附属医院肝胆外科2016年4月-2019年3月共完成143例胰十二指肠切除术,共有23例患者在胰十二指肠切除术后发生胃瘫综合征.其中A级患者有12例,B级7例患者,C级4例患者.对23例患者实施了非手术综合治疗.结果:给予综合治疗后,所有患者均顺利康复出院,平均病程18.7d.所有患者均未再次手术,3例患者发生胰瘘,2例患者发生肺部感染,1例患者发生切口感染.结论:采取非手术综合治疗术后胃瘫是安全有效的.Objective To investigate comprehensive treatment on gastroparesis syndrome after pancreatoduodenectomy.Methods A total of 143 patients with pancreatoduodenectomy between April.2016 and March.2019 in Affiliated Hospital of Southwest Medical University were analyzed retrospectively.Among them 23 cases had occured gastric paralysis syndrome which confirmed by the clinical manifestation,the general influence of the upper gastrointestinal tract radiography and gastroscopy.According to the classification of International Study Group of Pancreatic Surgery,16 cases in Grade A,6 cases in Grade B and 1 cases in Grade C.Results All the PGS patients were cured after treated with a combination method of drugs and psychology.The recovery time of gastric motility were 2 to 5 weeks after operation,and the average course of disease was 18.7d.All patients were cured and no reoperation and serious complications happened such as pancreatic fistula and anastomotic leakage.Conclusion Comprehensive treatment is safe and effective to treat gastroparesis syndrome after pancreatoduodenectomy.

关 键 词：胃瘫综合征 胃排空延迟 胰十二指肠切除术 综合治疗 

分 类 号：R657.5[医药卫生—外科学]