摘要
目的探讨食管癌根治术后胃排空障碍(胃瘫)的高发因素和保守治疗的疗效。方法回顾性分析29例食管癌根治术后并发胃瘫患者的临床特征,并与同期随机选取的50例未发生胃瘫的患者进行比较。对胃瘫患者采用非手术治疗,探讨其疗效。结果高龄、术前低白蛋白血症、手术时间长和术后血糖升高是并发胃瘫的高危因素(P<0.05),非手术治疗后,所有患者治愈,诊断后治愈时间平均为(13.8±8.1)d。结论对食管癌术后胃瘫患者需积极预防和治疗,疗效满意。
Objective To study the risk factors and effectiveness of nonoperative treatment for postoperative gastroparesis in the patients underwent curative surgery for esophageal cancer.Methods We retrospectively analyzed the clinical features of the 29 patients diagnosed with gastroparesis and the effects of nonoperative treatment.A cohort of 50 patients without gastroparesis was randomly selected as a control.Results Old ages,low preoperative serum albumin,elongation of operative,and postoperative elevated blood glucose were risk factors for gastroparesis.All patients could recovery from nonoperative treatment,with a duration of（13.8±8.1） days.Conclusion Attentions should be paid to the risk factors of gastroparesis,and the therapeutic effects were acceptable with proper nonoperative care.
出处
《实用癌症杂志》
2010年第4期371-373,共3页
The Practical Journal of Cancer
关键词
食管癌
胃排空障碍
危险因素
治疗
Esophageal cancer
Gastroparesis
Risk factors
Treatment
