胃出口梗阻的诊疗进展  

Progress in Diagnosis and Treatment of Gastric Outlet Obstruction

作　　者：胡钰晨 范震 HU Yuchen;FAN Zhen(The Fourth Clinical Medical College of Zhejiang Chinese Medical University(Hangzhou First People′s Hospital),Hangzhou,310053;epartment of Gastroenterology,Affiliated Hangzhou First People′s Hospital,School of Medicine,Westlake University,Hangzhou)

机构地区：[1]浙江中医药大学第四临床医学院(杭州市第一人民医院),310053 [2]西湖大学医学院附属杭州市第一人民医院消化内科

出　　处：《胃肠病学》2023年第12期761-765,共5页Chinese Journal of Gastroenterology

基　　金：杭州市医药卫生科技项目(ZD20240015)。

摘　　要：胃出口梗阻也称幽门阻塞或狭窄,是指由于十二指肠、胃远端、幽门管、幽门前区机械压迫或阻塞引起的幽门狭窄,患者会出现胃内容物不能通过的现象,并可伴有恶心、呕吐、腹痛和食欲减退等相关症状,这大大降低了患者的生命质量,对个体影响极大,危害程度极高,科学治疗该病具有极其重要的社会意义。根据胃出口梗阻的发病机制,本文就其临床诊断情况以及治疗策略作一综述,从而为胃出口梗阻的诊疗情况提供一定的参考。Gastric outlet obstruction,also known as pyloric obstruction or stenosis,refers to pyloric stenosis caused by mechanical compression or obstruction of the duodenum,distal stomach,pyloric duct,and anterior pyloric region.Patients will have the phenomenon that gastric contents cannot pass,accompanied by nausea,vomiting,abdominal pain,and loss of appetite and other related symptoms,which greatly reduces the quality of life of patients,has a wide range of individual impact,and has a high degree of harm.Scientific treatment of this disease has extremely important social significance.Based on the pathogenesis,this article reviewed the clinical diagnosis and treatment strategies of gastric outlet obstruction,thus providing some reference for the diagnosis and treatment of gastric outlet obstruction.

关 键 词：胃出口梗阻 内镜下球囊扩张 自膨胀金属支架 内镜超声引导下胃肠吻合术 诊断 治疗 

分 类 号：R573[医药卫生—消化系统]