吗叮啉联合肠外营养治疗胃大部切除术后胃排空障碍的临床研究

【摘要】 目的:探讨胃大部切除术后残胃功能性排空障碍的病因、发病机制、诊断和治疗方法。方法:对625例行胃大部切除术患者的临床资料进行回顾性分析。结果:625例中有20例出现胃功能性排空障碍,发生率3.2%,均发生在术后3～12天,所有患者经吗叮啉联合肠外营养治疗后10～28天胃排空功能恢复,痊愈出院。结论:胃大部切除术后功能性排空障碍的病因是多方面的,消化道造影和胃镜检查是诊断本病的重要方法,采取吗叮啉联合肠外营养治疗均可治愈。更多还原

【Abstract】 Objective:To explore the etiology,mechanism,diagnosis and treatment of functionally delayed gastric emptying after subtotal gastrectomy.Methods:Clinical data of the subtotal gastrectomy(n=625)performed in 1998 to 2008 were analyzed retrospectively.Results:The delayed gastric emptying occurred in 20 of 625 patients(3.2%)within 3 to 12 days after the operation.All of them regained the emptying function 10 to 28 days postoperatively with demperidone and total pareral nutrition.Conclusion:The cause of functionally delayed gastric emptying after subtotal gastrectomy is multiple.Upper gastrointestinal radiography and gastroscopy are important for the diagnosis.This problem can be solved with demperidone and total pareral nutrition.更多还原