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目的讨论胃充盈超声造影在胃溃疡患者术后的应用价值。方法 2002年6月2009年6月对因胃溃疡行手术的72例患者采用饮水法充盈胃进行术后超声检查随访,观察术后胃的容量变化、术后近期并发症及远期并发症。结果所有胃术后的患者,近期胃容量较前减少60%～70%,随着时间的延长,容量逐渐恢复,最大恢复至术前的50%。吻合处胃壁僵直,蠕动波消失。十二指肠残端漏2例,近期吻合口狭窄5例,胃瘫综合症3例,吻合口反流40例,有临床症状的患者10例,无临床症状的患者30例,复发性溃疡1例,未发现残胃癌及远期吻合口梗阻。结论胃充盈超声造影是胃溃疡术后简单易行的随访方法,具有重要的临床应用价值。
Objective To discuss the value of gastric filling ultrasonography in postoperative patients with gastric ulcer. Methods June 2002 June 2009 72 cases of patients with gastric ulcer surgery filling the stomach by drinking water method postoperative ultrasound follow-up, observation of postoperative gastric volume changes, postoperative complications and long-term complications. Results All patients with postoperative gastric surgery, the recent gastric volume decreased by 60% to 70%, with the extension of time, the capacity gradually recovered, the maximum recovery to 50% before surgery. Anastomosis Stomach wall stiff, peristaltic wave disappears. Duodenal leakage in 2 cases, recent anastomotic stenosis in 5 cases, gastroparesis syndrome in 3 cases, anastomotic reflux in 40 cases, 10 patients with clinical symptoms, 30 patients without clinical symptoms, recurrent ulcers One case did not find residual gastric cancer and long-term anastomotic obstruction. Conclusion Gastric filling ultrasound contrast is a simple and easy follow-up method after gastric ulcer, which has important clinical value.