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目的探讨贲门癌术后胃瘫综合征的诊断和治疗。方法对河南省济源市肿瘤医院1998至2007年间571例因贲门癌行根治性近端胃部分切除术后发生胃瘫综合征(PGS)23例(4.03%)患者的临床资料进行回顾性分析总结。结果本组23例患者均采取经X线透视导管引导下或胃镜引导下放入鼻肠管进行肠内营养(EN)和胃肠道动力药物联合治疗,其中19例患者于5周内恢复,2例延长至7周恢复,2例7周后因顽固性幽门口炎症、水肿行胃肠吻合术而治愈。结论贲门癌术后胃瘫综合征(PGS)可根据患者术后胃引流量增多(600～800ml/d,开始进食或改进半流饮食后上腹饱胀、呕吐,经检查排除幽门口梗阻等可作出诊断,大部分病例经禁食、胃肠减压、肠内营养(EN)和胃肠道动力药物等应用可治愈,少数经久不愈者可通过手术治疗。
Objective To investigate the diagnosis and treatment of gastroparesis syndrome after cardia cancer. Methods The clinical data of 571 cases (4.03%) with gastroparesis syndrome (PGS) after radical gastrectomy for cardia cancer in 571 patients from 1998 to 2007 in Jiyuan City Cancer Hospital of Henan Province were retrospectively analyzed. . Results Twenty-three patients in this study were enrolled in enteral nutrition (EN) and gastrointestinal motility drugs under the guidance of X-ray fluoroscopy or gastroscope. Among them, 19 patients recovered within 5 weeks and 2 Cases were extended to 7 weeks recovery, 2 cases 7 weeks after refractory pyloric inflammation, edema and gastrointestinal anastomosis cured. Conclusions Postoperative Gastro-paralysis Syndrome (PGS) of cardia cancer can be increased according to the amount of postoperative gastric drainage (600 ~ 800ml / d, to begin to eat or to improve the half-stream diet after abdominal fullness and vomiting, after examination to exclude pyloric obstruction Diagnosis can be made, and most cases can be cured by fasting, gastrointestinal decompression, enteral nutrition (EN) and gastrointestinal motility drugs, and a small number of patients with persistent complications can be surgically treated.