摘要
目的分析腹部手术后胃瘫综合征的病因、机制、诊断要点、治疗措施及效果。方法回顾性分析我院2003年1月～2012年1月24例腹部手术后胃瘫综合征患者的临床资料。结果本组24例胃瘫综合征患者经治疗后17～40d全部治愈,胃液引流量明显减少,腹部症状体征消失,胃排空功能恢复正常。对所有患者复查胃部造影检查,结果显示胃蠕动波正常,造影剂排空正常,造影剂可顺利通过吻合口。13例(54.17%)患者治疗2～3周后症状恢复;7例(29.17%)患者治疗3～4周症状恢复;3例(12.5%)患者治疗4～5周症状恢复;1例(4.17%)患者治疗后5～6周症状恢复。结论术后胃瘫综合征是腹部手术尤其是胃部手术的术后近期并发症,诊断主要依赖于临床表现及胃镜和消化道造影等辅助检查,经非手术治疗可取得满意临床疗效。但对于经非手术治疗无效,不能完全排除机械性梗阻者,应考虑手术探查。
Objective To analyse the pathogenetic mechanisms, diagnostic point, treatment measures and effect of posts- urgical gastroparesis syndrome. Methods From January 2003 to January 2012, the clinical data of 24 cases of postsurgical gastro- paresis syndrome patients were retrospective analysis. Results The 24 cases of postsurgical gastroparesis syndrome patients were cured in 17 -40d after therapy, the gastric lead flow significantly reduced, the abdominal symptoms and signs disappeared, Gastric emptying function returned to normal. For all patients, the stomach imaging Results showed that gastric peristalsis wave normal, contrast medium emptying normal, the contrast agent can.smoothly through the anastomosis. The symptoms of 13 cases of patients recoveried at 2 - 3 weeks after therapy, accounting for 54. 17%. The of 7 cases of patients recoveried at 3 -4 weeks after therapy, accounting for 29. 17%. The 3 cases of patients recoveried at 4 -5 weeks after therapy, accounting for 12. 5%. The 1 cases of pa- tients recoveried at 5 -6 weeks after therapy, accounting for 4. 17%. Conclusion The postoperative gastric paralysis syndrome is postoperative complications of abdominal surgery especially stomach surgery, the diagnosis mainly depends on the clinical manifes- tations and gastroseope and gastrointestinal angiography auxiliary check, the non-surgical treatment can obtain satisfactory clinical curative effect but when the nonoperative treatment is invalid, and cannot completely eliminate the mechanical obstruction, we should consider surgery operation.
出处
《四川医学》
CAS
2013年第3期392-394,共3页
Sichuan Medical Journal
关键词
腹部手术
胃瘫综合征
诊断
治疗
abdominal surgery
gastric paralysis syndrome
diagnosis
treatment
