| 摘要: |
| ［摘要］ 目的 探讨腹部手术后功能性胃排空障碍诊疗方法及临床疗效。方法 回顾性分析2008-02～2015-01该院收治的27例腹部术后功能性胃排空障碍患者临床资料。结果 27例腹部术后功能性胃排空障碍发生于术后5～9 d，结合临床表现及泛影葡胺上消化道造影检查确诊，均经积极非手术治疗治愈，时间11～32（22.4±5.3）d，其中发病11～14 d治愈7例，发病15～21 d治愈9例，发病22～27 d治愈6例，发病28～32 d治愈3例。结论 腹部术后功能性胃排空障碍为功能性疾病，采用非手术治疗大多数患者可以治愈，应尽可能避免再次手术，临床应积极控制本病风险因素，减少术后功能性胃排空障碍的发生。 |
| 关键词: 功能性胃排空障碍 腹部手术 诊断 保守治疗 |
| DOI：10.3969/j.issn.1674-3806.2016.05.18 |
| 分类号:R 656 |
| 基金项目: |
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| Clinical diagnosis and treatment of 27 patients with functional delayed gastric emptying after abdominal operation |
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ZHANG Yu-qing
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Department of General Surgery, the People′s Hospital of Zhongmou, Henan 451450, China
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| Abstract: |
| ［Abstract］ Objective To explore the diagnostic and therapeutic method and clinical efficacy of functional delayed gastric emptying after abdominal operation.Methods Twenty-seven cases with functional delayed gastric emptying after the abdominal surgery were treated in our hospital from February 2008 to January 2015, and their data were retrospectively analyzed.Results Functional delayed gastric emptying occurred in 27 cases 5 to 9 days after the surgery. The disease was made a definite diagnosis through the clinical manifestation and urografin upper gastrointestinal contrast examination, and all the patients were cured by positive non-surgical treatment between 11 and 32 days after the abdominal surgery with an average of (22.4±5.3)d, among of whom, 7 cases were cured who became ill for 11～14 days, 9 were cured who became ill for 15～21 days, 6 were cured who became ill for 22～27 days and 3 were cured who became ill for 28～32 days.Conclusion Functional delayed gastric emptying after the abdominal surgery is a functional disease. Non-surgical treatments are suitable for most of the patients and reoperation should be avoided as far as possible. The risk factors of this disease should be controlled positively to reduce the occurrence of functional delayed gastric emptying after the abdominal surgery. |
| Key words: Functional delayed gastric emptying Abdominal surgery Diagnosis Expectant treatment |
