腹部手术后胃瘫16例诊治分析

【摘要】 目的探讨腹部手术后胃瘫综合征(PGS)的发生原因、诊断及治疗。方法对2006年7月～2009年10月251例腹部手术后出现PGS的16例患者的临床资料进行回顾性分析总结。结果本组PGS发生率6.37%,其中胃手术9例,非胃手术7例(门奇静脉断流术2例,胰十二指肠切除术3例,结肠癌根治术1例,肝癌根治术1例,均发生于术后4～10d;16例均经非手术治愈。结论 PGS的发生是由多种因素诱发,上消化道造影及胃镜检查是诊断PGS的可靠方法,采用非手术疗法包括心理治疗、营养支持、适当应用胃动力药物及激素等,尽量避免手术治疗。更多还原

【Abstract】 Objective To study the etiology,diagnosis and treatment of postsurgical gastroparesis syndrome.Methods sixteen cases of gastroparesis after Abdominal surgery operation were analyzed retrospectively.Results 6.37% PGS incidence,among in,nine case gastrointestinal operation,other operation is seven.Conclusion PGS is caused by multiple factors,The reliable diagnosis methods are Upper gastrointestinal angiography and gastroscopy.PGS can be cured by conservative therapy,such as Psychological treatment;nutrition support etc,try to avoid surgery.更多还原