论文部分内容阅读
目的探讨胃癌贲门癌术后功能性胃排空障碍的病因、发生机制、诊断和治疗方法。方法对1986—2005年我院收治的42例胃癌术后胃排空障碍的临床资料进行回顾性分析。结果功能性胃排空障碍均发生于手术后5~12 d。42例病例中,5例术后30 d后恢复胃动力,8例20~30 d恢复胃动力,其余20 d内恢复胃动力。结论胃癌术后功能性胃排空障碍的病因是多因素的,消化道造影及胃镜检查是诊断胃排空障碍及鉴别机械性梗阻的重要手段。采取非手术疗法可治愈胃排空障碍,应尽量避免再次手术。
Objective To investigate the etiopathogenisis, pathogenesis, diagnosis and treatment of functional gastric emptying disorders in gastric cancer and gastric cardia cancer patients. Methods The clinical data of 42 patients with gastric emptying admitted to our hospital from 1986 to 2005 were retrospectively analyzed. Results Functional gastric emptying occurred in 5 to 12 days after surgery. Among the 42 cases, 5 cases recovered gastric motility 30 days after operation, 8 cases recovered gastric motility from 20 to 30 days and restored gastric motility within the remaining 20 days. Conclusions The cause of functional gastric emptying disorder after gastric cancer operation is multifactorial. Gastrointestinal imaging and gastroscopy are the important methods to diagnose gastric emptying disorder and to identify mechanical obstruction. Non-surgical treatment of gastric emptying disorders can be avoided, should try to avoid re-surgery.