胆胰术后胃瘫综合征的诊断和治疗  

Diagnosis and Treatment of Postopertive Gastroparesis Syndrome After Billiarypancreas Surgery

作　　者：邢海林[1] 张宗明[1] 吴强[1] 

机构地区：[1]同济大学附属同济医院普外科,上海200065

出　　处：《同济大学学报（医学版）》2004年第2期121-123,共3页Journal of Tongji University(Medical Science)

摘　　要：目的　探讨胆胰术后胃瘫综合征发生的病因、诊断方法、治疗手段和疗效。方法　对 8例胆胰术后胃瘫综合征患者的临床表现 ,诊断方法 ,治疗手段进行回顾性分析。结果　年老、恶性肿瘤、无胃切除的胃空肠吻合术的患者发病率较高 ,胃镜、上消化道造影是诊断本病有价值的方法 ,经保守支持治疗后胃肠动力一般可在术后 8周内恢复正常 ,手术治疗效果差。结论　保守支持治疗是治疗胆胰术后胃瘫综合征的有效手段 。Objective To investigate the etiology,diagnosis and treatment of postoperative gastroparesis syndrome(PGS) after biliary-pancreas surgery.Methods Clinical manifestations diagnostic and therapeutic approaches of 8 cases of gastroparesis after biliary-pancreas operation were analyzed retrospectively.Results Senility of patients,malignancy of tumor and simple gastrojejumostomy without gastrectomy were high risk factors in PGS cases.Gastroscopy and upper gastrointestinal radiography were effective methods in the diagnosis of gastropatesis.By conservative treatments normal gastrointestinal motility was recovered mostly recovered in 8 weeks postoperatively.Reoperation was not valuable.Conclusion These findings suggest that the treatment of conservative and supportive is efficient for PGS after biliary-pancreas operation and reoperation should be avoided.

关 键 词：胆胰手术 手术后并发症 胃瘫 

分 类 号：R657[医药卫生—外科学]