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目的探讨食管癌术后胸胃排空障碍的病因及其防治。方法回顾性分析47例食管癌术后发生胸胃排空障碍患者的发病原因、临床诊断、处理方法、预防措施等。结果 41例患者经包括介入球囊扩张等在内的保守治疗而痊愈,6例经手术治疗治愈。结论食管癌术后发生的功能性胸胃排空障碍经过非手术治疗即可治愈,而胃扭转等机械性排空障碍应行手术治疗。诊断和鉴别术后胸胃排空障碍的主要方法为消化道造影及胃镜检查。介入球囊扩张术是有效的治疗方法。
Objective To investigate the etiology and prevention of thoracic gastric emptying after esophageal cancer surgery. Methods Retrospective analysis of 47 cases of esophageal cancer patients with thoracic gastric emptying cause of etiology, clinical diagnosis, treatment, prevention measures. Results 41 patients were cured by conservative treatment including interventional balloon dilatation and 6 cases were cured by surgery. Conclusion The functional thoracic gastric emptying disorder after esophageal cancer surgery can be cured by non-surgical treatment, while mechanical ventilation disorders such as gastric torsion should be surgically treated. Diagnosis and identification of postoperative thoracic gastric emptying obstacles for the main method of gastrointestinal imaging and gastroscopy. Balloon intervention is an effective treatment.