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目的研究保留幽门十二指肠切除术(PPPD)后的胃排空障碍(DGE)的防治。方法对44例PPPD术后DGE的病人进行回顾性分析,选择性地进行胃造口安置减压组合营养管(PSⅡ型管)观察其疗效。结果本组病例DGE的发生率为25%。通过PSⅡ型管胃造口可获得满意效果,没有相关并发症。结论PSⅡ型管有减压和营养功能,通过胃造口安置可有效地防治PPPD术后DGE,既安全又可减少病人痛苦
Objective To study the prevention and treatment of gastric emptying disorder (DGE) after retention of pyloric duodenum resection (PPPD). Methods Forty - four patients with DGE after PPPD were retrospectively analyzed. The curative effect of selective gastrostomy and decompression combined nutrition tube (PS Ⅱ) was observed. Results The incidence of DGE in this group was 25%. Satisfactory results can be obtained through gastrostomy with PS Ⅱ tube, without any complications. Conclusion The PSⅡ-type tube has decompression and nutrition function, which can effectively prevent and treat DGE after PPPD through the placement of gastrostomy, which is safe and reduces the patient’s pain