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目的 根据胃癌术后不同时期的腹腔B超表现,探讨胃癌术后腹腔B超探测的必要性。方法 胃癌切除术115例,术中均于肝下和/或左上腹放置多侧孔引流管。术后 1、3、5、7、10 天作腹腔 B超探测,观察积液情况。结果 术后早期肝下积液 2 例,B超发现后经调整引流管,即恢复通畅引流。近期腹腔积液 5 例,远期淋巴管漏1例,经处理后均消失,小肠间积液引流无效。结论 胃癌根治术后应定期复查腹腔 B超,以尽早发现腹腔积液,及时处理。
Objective According to the different stages of postoperative gastric cancer B-ultrasound, to explore the necessity of postoperative abdominal ultrasound B-probe. Methods Gastric cancer resection was performed in 115 cases. Multi-lateral drainage tube was placed under the liver and / or left upper abdomen during operation. 1,3,5,7,10 postoperative abdominal ultrasound B probe to observe the effusion. Results 2 cases of early postoperative liver effusion, B-tube drainage tube after adjustment, that is to restore smooth drainage. Recent peritoneal effusion in 5 cases, long-term lymphatic leakage in 1 case, disappeared after treatment, intestinal fluid effusion ineffective. Conclusion Gastric cancer should be reviewed regularly after radical b-ultrasound, in order to early detection of ascites, timely treatment.