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为了探讨腹部肿瘤手术后胃功能性排空障碍(functional detayed gastric emptying,FDGE)的病因、发生机制、诊断和治疗方法,对1994年~2008年收治的48例腹部肿瘤手术后胃排空障碍的临床资料进行回顾性分析。胃功能性排空障碍均发生于腹部肿瘤手术后3~12d,所有病例经保守治疗7~28d内治愈。初步研究结果提示,腹部肿瘤术后胃功能性排空障碍的病因是多因素的。胃肠道造影及胃镜检查是诊断本病的重要方法,采取非手术治疗一般均可治愈,肠内营养的建立是最关键的治疗手段。
To investigate the etiology, pathogenesis, diagnosis and treatment of functional detained gastric emptying (FDGE) after abdominal tumor surgery, 48 cases of gastric emptying disorder after abdominal surgery were treated from 1994 to 2008 Clinical data were retrospectively analyzed. Gastric dysfunction occurred in 3 to 12 days after abdominal tumor surgery, and all cases were cured within 7 to 28 days after conservative treatment. Preliminary findings suggest that the cause of dysfunctional gastric emptying after abdominal tumor surgery is multifactorial. Gastrointestinal imaging and gastroscopy is an important method of diagnosis of the disease, non-surgical treatment can be generally cured, the establishment of enteral nutrition is the most critical treatment.