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胃大部切除术后功能性胃排空障碍33例临床分析
引用本文:杨锐,华黎,李明.胃大部切除术后功能性胃排空障碍33例临床分析[J].黄冈职业技术学院学报,2006,8(4):95-96.
作者姓名:杨锐  华黎  李明
作者单位:浠水县人民医院,湖北,黄冈,438000
摘    要:目的探讨胃大部切除术后残胃功能性障碍的病因、发生机制、诊断及治疗。方法对1999~2006年33例胃大部切除术后胃排空障碍的病例进行回顾性分析。结果功能性排空障碍发生于术后3~12天。32例(96。9%)经非手术治疗于术后7~28天恢复胃动力,痊愈出院,一例(3。1%)因经济原因放弃治疗而死亡。结论胃手术后功能性排空障碍的原因是多因素的,消化道造影及胃镜检查是诊断本病的重要方法。采用非手术疗法一般均可治愈。

关 键 词:胃大部切除术  功能性排空障碍
文章编号:1672-1047(2006)04-0095-02
收稿时间:2006-10-05
修稿时间:2006年10月5日

Functional delayed gastric emptying after subtotal gastrectomy: clinical analysis of 33 cases
Yang Rui,Hua Li,Li Ming.Functional delayed gastric emptying after subtotal gastrectomy: clinical analysis of 33 cases[J].Journal of Huanggang Polytechnic,2006,8(4):95-96.
Authors:Yang Rui  Hua Li  Li Ming
Institution:Department of General SurgeryXi shui Hospital 438200 Hubei
Abstract:Objective To explore the etiology,mechanism,diagnosis and treatment of functional delayed gastric emptying(FDGE) after subtotal gastrectomy.Methods A retrospective analysis was made of the data of 33 cases undergoing subtotal gastrectomy.Results FDGE usually occured during 3~12days postoperatively.The gastric function of 35 patients(96.9%)who received non-operative therapy restored during 7~28 days postoperatively.One patient(3.1%)died from giving up theatment for economic reason.Conclusion FDGE is due to multiple factors.Gastroscopy and X-ray of digestive tract are valuable in the diagnosis of FDGE.FDGE can be cured by nonsurgical treatment.
Keywords:Subtotal gastrectomy  Functional delayed gastric emptying(FDGE)
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