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目的对导致胃癌根治术后胃瘫综合征的原因以及诊治进行分析。方法随机抽取在2010年6月至2011年6月之间我院收治的胃癌根治术的患者病例420例,对其临床资料进行统计,对抽取患者的一些临床表现、高危因素以及诊治过程进行分析。结果在这420例患者中发生胃瘫综合征的患者有18例,并发率为4.29%左右。导致胃瘫综合征发生的主要原因有存在焦虑或者是抑郁、在术前存在胃流出梗阻现象。结论胃癌根治术后并发胃瘫综合征的原因有很多;对其进行诊断的主要方法为X线消化道造影以及胃镜检查,在治疗时宜采用营养支持以及服用胃动力药物等一些非手术的方法,尽量对再次手术予以避免。
Objective To analyze the causes and diagnosis and treatment of gastroparesis syndrome after radical operation of gastric cancer. Methods A total of 420 patients with radical gastrectomy admitted to our hospital from June 2010 to June 2011 were randomly selected and their clinical data were collected. Some clinical manifestations, risk factors and diagnosis and treatment process were analyzed . Results Among the 420 patients, 18 cases developed gastroparesis syndrome with a rate of 4.29%. The main cause of gastroparesis syndrome is the presence of anxiety or depression, there is the phenomenon of gastric outflow obstruction before surgery. Conclusions There are many reasons for gastroparesis syndrome after radical operation of gastric cancer. The main methods for diagnosis of gastric cancer are X-ray gastrointestinal imaging and gastroscopy. Some non-surgical methods such as nutrition support and gastric motility drugs should be adopted in the treatment. Try to avoid re-operation.