文档介绍：食管贲门癌术后胃排空障碍的治疗效果
作者:郑培坤,季艳玲,潘丽,费立聪,路少林(日照市人民医院胸外科,山东日照 276826)
[摘要]目的探讨食管、贲门癌术后胃排空障碍的治疗效果。方法对机械性胃排空障碍病人早期行手术探查,而功能性胃排空障碍则采取各种保守治疗。结果机械性胃排空障碍治愈11例,死亡1例;功能性胃排空障碍治愈16例,死亡2例。结论对不同原因引发的胃排空障碍应采取不同措施治疗。
[关键词] 食管肿瘤;胃排空障碍;外科手术;治疗结果
THERAPEUTIC EFFICACY OF DELAYED GASTRIC EMPTYING AFTER RESECTION OF CARCINO
ZHENG PEI-KUN, JI YAN-LING, PAN LI, et al
(Department of Thoracic Surgery, Rizhao People's Hospital, Rizhao 276826, China)
[ABSTRACT]ObjectiveTo explore the therapeutic effect of delayed gastric emptying after surgery of esophageal and cardi-al carcinoma. MethodsEarly surgical exploration was done for mechanically delayed gastric emptying, while conservative treat-ments for functional cause. Results In patients with mechanically delayed gastric emptying, 11 were cured and one died; those with functionally delayed gastric emptying, 17 were cured, and one died. ConclusionDifferent measures should be adopted for delayed gastric emptying caused by varied reasons.
[KEY WORDS] esophageal neoplasms; delayed gastric emptying; surgical intervention; treatment e
食管、贲门癌手术并发症多,胃排空功能障碍即是其中之一。随着食管、贲门癌手术切除范围的扩大及高位食管胃吻合增多,胃排空障碍有明显增加趋势,若未及时发现、处理不当会导致严重后果,因此探讨其发生原因、诊断、治疗和预防具有重要意义[1]。作者自1996年3月~2006年6月共完成食管、贲门癌手术1 266例,其中发生胃排空障碍者30例,现将其治疗方法总结如下。
1 资料与方法
一般资料本组30例中,男26例,女4例;年龄43~78岁,平均64岁;机械性胃排空障碍12例,功能性胃排空障碍18例;食管癌术后22例,贲门癌术后8例;食管癌22例中,颈部吻合14例,弓上吻合6例,弓下2例;贲门癌8例均为弓下吻合。胃排空障碍发现时间