腹部非胃手术后功能性胃排空障碍的诊断与治疗:附28例报告
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刘栋才

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The diagnosis and treatment of functional delayed gastric empting after nongastrectomy abdominal operation:a report of 28 patients
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    目的:探讨腹部非胃手术后功能性胃排空障碍(functional delayed gastric empting,FDGE)的病因、诊断与治疗方法。
    方法:回顾性分析12年间收治的28例腹部非胃手术后FDGE患者的临床资料。
    结果:FDGE发生于腹部非胃手术后4~16 d。均表现为上腹饱胀伴呕吐,检查胃振水音明显,鼻胃管引流出胃液1 000~2 500mL/d。经胃镜诊断21例(75.0%),上消化道造影诊断7例(25.0%)。 100%经非手术治疗痊愈,且均于术后6~38(平均7.6 )d恢复胃动力。
    结论:腹部非胃手术后FDGE的发生与多种因素有关。胃镜检查既可明确诊断,也是一种重要的治疗手段。采取非手术治疗一般可治愈。

    Abstract:

    Abstract:Objective:To explore the etiology, diagnosis and treatment of functional delayed gastric empting(FDGE) after nongastrectomy abdominal operation.
    Methods :The clinical data of twenty-eight patients with FDGE in our hospital from Dec.1995 to Jan. 2007 were analyzed retrospectively.
    Results:FDGE usually occurred at 4~16 days postoperatively. lt was characterized by upper abdominal distension, vomiting, loud gastric splashing sound, and large amount of gastric drainage ranging from 1 000 to 2 500mL per day. Tweenty-one cases(75.0%) were diagnosed by gastroscopy and 7(25.0%) by barium meal. All the patients recovered with conservative treatment, and gastric motility was restored at 6-38 d (average 7.6 d) after operation in all the cases.
    Conclusions:The etiology of FDGE after nongastrectomy abdominal operation is related to multiple factors. Gastroscopy is valuable in the diagnosis and treatment of FDGE. FDGE can be cured by nonsurgical treatment.

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刘栋才, 周建平, 袁联文, 舒国顺, 周家鹏, 任峰.腹部非胃手术后功能性胃排空障碍的诊断与治疗:附28例报告[J].中国普通外科杂志,2008,17(10):15-100.
DOI:10.7659/j. issn.1005-6947.2008.10.015

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  • 在线发布日期: 2008-10-25