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目的探讨胃癌根治术后胃瘫综合征的发生原因,讨论起诊断方法,分析其治疗方法和结果。方法我远自2008年9月至2011年9月收治104例胃癌患者,对其行根治术后,有8例出现胃瘫综合征,对着8例患者的实际临床资料进行回顾性的统计分析,探讨胃癌根治术后胃瘫综合征的发生原因和诊断、治疗方法。结果胃癌根治术后胃瘫综合征发生率为7.69%,所有患者均经非手术治愈,其中1例15d恢复,2例18 d恢复,2例22 d恢复,3例56 d恢复。结论胃排空障碍的主要原因是术后胃肠道运动的改变和吻合口水肿,而营养不良、高龄、腹腔感染、水电解质失衡等为诱因。胃瘫综合征的诊断方法是胃镜检查及上消化道造影,治疗方法是营养支持、心理治疗、适当应用胃动力药物及激素等非手术疗法。
Objective To investigate the causes of gastroparesis syndrome after radical operation of gastric cancer, to discuss the diagnosis method and analyze the treatment methods and results. Methods I far from the September 2008 to September 2011 treated 104 patients with gastric cancer, after its radical mastectomy, 8 cases of gastroparesis syndrome, the actual clinical data of 8 patients were retrospectively analyzed To investigate the causes of gastroparesis syndrome after radical operation and the methods of diagnosis and treatment. Results The incidence of gastroparesis syndrome after radical gastrectomy was 7.69%. All the patients were cured by non-operation. Among them, 1 case recovered 15 days, 2 cases 18 days recovery, 2 cases 22 days recovery and 3 cases 56 days recovery. Conclusion The main reason of gastric emptying disorder is the change of postoperative gastrointestinal motility and anastomotic edema, and malnutrition, elderly, abdominal infection, imbalance of water and electrolyte as the incentive. Gastroparesis syndrome diagnosis is gastroscopy and upper gastrointestinal imaging, treatment is nutritional support, psychological treatment, the appropriate application of gastric motility drugs and hormones and other non-surgical therapy.