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目的分析和探讨胃癌并幽门梗阻手术后功能性胃排空障碍的临床表现、特点及治疗方法。方法回顾分析2000年1月至2009年9月间36例胃癌并幽门梗阻手术后功能性胃排空障碍的临床资料。结果术前,合并幽门梗阻患者功能性胃排空障碍发生率高达13.95%,明显高于术前未合并幽门梗阻患者的2.31%(P<0.05)。36例确诊功能性胃排空障碍患者给予非手术综合治疗后,均愈出院。结论功能性胃排空障碍是胃癌并幽门梗阻手术后早期出现的并发症,术前合并幽门梗阻及行毕Ⅱ式吻合术为易发因素。该并发症通过上消化道造影动态检查即可明确诊断,确诊后采用非手术治疗手段基本可以治愈。
Objective To analyze and discuss the clinical manifestations, characteristics and treatment of functional gastric emptying disorder after gastric cancer with pyloric obstruction. Methods The clinical data of 36 patients with gastric dysplasia after pyloric obstruction surgery between January 2000 and September 2009 were retrospectively analyzed. Results Before operation, the incidence of functional gastric emptying in patients with pyloric obstruction was as high as 13.95%, which was significantly higher than that in patients without pyloric obstruction (2.31%, P <0.05). 36 patients diagnosed with functional gastric emptying patients given non-surgical treatment, were discharged. Conclusions Functional gastric emptying disorder is an early complication of gastric cancer with pyloric obstruction. Preoperative combination of pyloric obstruction and type Ⅱ anastomosis is a predisposing factor. The complications can be diagnosed by dynamic inspection of upper gastrointestinal tract imaging. After diagnosis, non-surgical treatment can be basically cured.