第三军医大学学报
第三軍醫大學學報
제삼군의대학학보
ACTA ACADEMIAE MEDICINAE MILITARIS TERTIAE
2001年
1期
114-115
,共2页
胃大部切除术%胃排空障碍
胃大部切除術%胃排空障礙
위대부절제술%위배공장애
目的 探讨胃大部切除术后残胃功能性排空障碍(FDGE)的可能原因及其诊断和治疗方法。方法 分析375例胃大部切除术后发生的12例FDGE患者的临床特点及诊治经过。结果 术前低蛋白血症、贫血及幽门梗阻患者FDGE发生率高，上消化道造影及胃镜检查均能明确诊断，所有病人均经保守治疗而治愈。结论 上消化道造影是确诊FDGE、鉴别机械性梗阻的首选方法，FDGE一旦确诊应避免再手术。
目的 探討胃大部切除術後殘胃功能性排空障礙(FDGE)的可能原因及其診斷和治療方法。方法 分析375例胃大部切除術後髮生的12例FDGE患者的臨床特點及診治經過。結果 術前低蛋白血癥、貧血及幽門梗阻患者FDGE髮生率高，上消化道造影及胃鏡檢查均能明確診斷，所有病人均經保守治療而治愈。結論 上消化道造影是確診FDGE、鑒彆機械性梗阻的首選方法，FDGE一旦確診應避免再手術。
목적 탐토위대부절제술후잔위공능성배공장애(FDGE)적가능원인급기진단화치료방법。방법 분석375례위대부절제술후발생적12례FDGE환자적림상특점급진치경과。결과 술전저단백혈증、빈혈급유문경조환자FDGE발생솔고，상소화도조영급위경검사균능명학진단，소유병인균경보수치료이치유。결론 상소화도조영시학진FDGE、감별궤계성경조적수선방법，FDGE일단학진응피면재수술。
Objective To explore the possible cause of functional delayedgastric emptying (FDGE) and its diagnosis and treatment. Methods Clinical features and processes of treatment were analyzed for 12 cases with FDGE occurred in 375 patients after subtotal gastrectomy. Results FDGE was more frequent in those patients who had a hypoproteinemia, anemia or pyloric obstruction before operation. A definite diagnosis could be made by upper gastrointestinal radiography or gastroscopy. All patients with FDGE were recovered with conservative treatment. Conclusion Upper gastrointestinal radiography is the diagnostic method of first choice for FDGE and differential diagnosis with mechanical ileus. Reoperation should be avoided in case of FEGE.
