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目的探讨食管癌术后胃瘫发生的高危因素及诊治。方法回顾性收集食管癌术后并发胃瘫17例患者(A)组,并与同期未发生胃瘫4686例患者(B)组进行比较分析。结果A组中术前伴糖尿病、进食受限>20d、高位(颈部)吻合、术时>3h、术后紧张忧虑的患者比例高(P<0.05)。两组年龄、性别差异无统计学意义(P>0.05)。结论术前伴糖尿病、进食受限时间长、术时长、术后紧张忧虑是食管癌术后发生胃瘫的高危因素。胃瘫经非手术治疗均可治愈。
Objective To investigate the risk factors and diagnosis and treatment of gastric paralysis after esophageal cancer surgery. Methods A retrospective collection of 17 patients with gastric paralysis after esophageal cancer operation (A) and compared with 4686 patients without gastroparesis (B) during the same period. Results In group A, the preoperative diabetes mellitus had a high proportion of patients with stress restriction> 20 days, high position (neck) anastomosis> 3 hours and postoperative tension anxiety (P <0.05). There was no significant difference between the two groups in age and gender (P> 0.05). Conclusions Preoperative diabetes mellitus, prolonged periods of restricted food intake, long operative time and anxiety after surgery are the risk factors of gastroparesis after esophagectomy. Gastric paralysis can be cured by non-surgical treatment.