中国综合临床
中國綜閤臨床
중국종합림상
Clinical Medicine of China
2015年
11期
1009-1011
,共3页
食管癌%食管胃交界癌%胃瘫综合征
食管癌%食管胃交界癌%胃癱綜閤徵
식관암%식관위교계암%위탄종합정
Esophagus carcinoma%Esophago gastric junction carcinoma%Paralysis gastroparesis syndrome
目的 探讨食管及食管胃交界部癌术后胃瘫综合征的诊断及治疗.方法 对我院1996年3月至2013年12月食管及食管胃交界部癌术后并发胃瘫42例患者的临床资料进行回顾性分析.结果 所有患者均表现为胃潴留,无明显腹痛,肛门排气已恢复.消化道造影提示吻合口及幽门通畅,胃蠕动减弱或消失.40例患者经保守治疗后,10～ 15 d恢复胃动力,2例顽固性胃瘫,保守治疗2个月后行幽门成形术,术后分别保守治疗28、35 d后恢复胃动力.结论 胃瘫综合征是一种功能性疾病,治愈率高,首选保守治疗,对于顽固性胃瘫,可行幽门成形术.
目的 探討食管及食管胃交界部癌術後胃癱綜閤徵的診斷及治療.方法 對我院1996年3月至2013年12月食管及食管胃交界部癌術後併髮胃癱42例患者的臨床資料進行迴顧性分析.結果 所有患者均錶現為胃潴留,無明顯腹痛,肛門排氣已恢複.消化道造影提示吻閤口及幽門通暢,胃蠕動減弱或消失.40例患者經保守治療後,10～ 15 d恢複胃動力,2例頑固性胃癱,保守治療2箇月後行幽門成形術,術後分彆保守治療28、35 d後恢複胃動力.結論 胃癱綜閤徵是一種功能性疾病,治愈率高,首選保守治療,對于頑固性胃癱,可行幽門成形術.
목적 탐토식관급식관위교계부암술후위탄종합정적진단급치료.방법 대아원1996년3월지2013년12월식관급식관위교계부암술후병발위탄42례환자적림상자료진행회고성분석.결과 소유환자균표현위위저류,무명현복통,항문배기이회복.소화도조영제시문합구급유문통창,위연동감약혹소실.40례환자경보수치료후,10～ 15 d회복위동력,2례완고성위탄,보수치료2개월후행유문성형술,술후분별보수치료28、35 d후회복위동력.결론 위탄종합정시일충공능성질병,치유솔고,수선보수치료,대우완고성위탄,가행유문성형술.
Objective To study the diagnosis and treatment in patients of esophagus carcinoma and esophagogastric junction carcinoma after operation with paralysis gastroparesis syndrome (PGS).Methods From March 1996 to December 2013 in the Affiliated Hospital of Putian University,the clinical data of PGS in 42 patients with esophagus carcinoma and esophagogastric junction carcinoma after operation were selected, and retrospectively analyzed.Results All the patients were presented with gastric retention, no obvious abdominal pain,and anal exhaust has been restored.Enteron radiography shows anastomosis and pylorus were unobstructed and gastric motility was weaken or disappear.All patients were treated with gastrointestinal decompression, nutritional support, maintaining water electrolyte metabolism balance, promoting gastrointestinal peristalsis and reducing stomach wall edema.The stomach function recovery of 40 cases was within 10-15 days, respectively.Two patients cured by pyloroplasty when they were not improved by conservative treatment for 2 months.And the stomach function recovery were within 28 days and 35 days.Conclusion Gastroparesis syndrome is a functional disease,the cure rate is high, the treatment of first choice was conservative treatment, however, for the intractable gastroparesis, pyloroplasty maybe another good choice.
