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胃手术后功能性胃排空障碍的诊断与治疗

Diagnosis and Treatment of Functional Delayed Gastric Emptying after Gastrectomy

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【作者】 陈玉银

【Author】 Cheng Yuyin.Department of General Surgery,The Second People’s Hospital of Wuhu,Anhui 241000,China

【机构】 安徽省芜湖市第二人民医院普外科 241000

【摘要】 目的探讨胃术后功能性胃排空障碍(FDGE)的病因、临床特点和治疗原则。方法对我院241例胃切除手术患者的资料进行回顾性分析。结果241例中有8例(3.3%)在术后3~10 d时出现FDGE,依据临床表现、胃造影和胃镜检查确诊。经非手术治疗10~60 d后,8例均治愈。结论FDGE是由综合因素引起的,通过上消化道造影及胃镜检查可以明确诊断,治疗上采取非手术综合治疗,多可治愈。

【Abstract】 Objective To study the cause and the clinical feature and treatment of functional delayed gastric emptying(FDGE) after gastrectomy.Methods Retrospectively analyze the clinical data of 241 patients who were performed gaslrectomy.Results 8 cases(3.3%) in 241 appeared FDGE three to ten days later after operation.Diagnosis was confirmed by clinical feature,gastric opacification and gastroscope.Eight patients were cured by palliative treatment with recovery time from 10 to 60 days.Conclusions FDGE result from the comprehensive factors,diagnosis can be confirmed by barium meal,examination of gastrointestinal tract and gastroscopy.FDGE can be mostly cured by palliative treatment.

  • 【文献出处】 实用全科医学 ,Applied Journal of General Practice , 编辑部邮箱 ,2006年06期
  • 【分类号】R656.61
  • 【被引频次】2
  • 【下载频次】23
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