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目的探讨胃癌根治术后胃瘫综合征(PGS)的发生原因、临床特点和处理方法。方法对1997年1月至2007年12月胃癌根治术后出现胃瘫综合征25例患者的临床资料进行回顾性分析。结果糖尿病、低蛋白血症,术前存在幽门梗阻,毕Ⅱ式胃肠吻合,患者PGS发生率较高。25例患者均经非手术保守治疗而治愈。结论上述因素可能是胃大部切除术后PGS发生的高危因素,在围手术期应纠正或避免这些高危因素。胃癌根治术后PGS采用非手术疗法可愈。
Objective To investigate the causes, clinical features and treatment of post-operative gastric gastroparesis syndrome (PGS) after radical operation of gastric cancer. Methods The clinical data of 25 patients with gastroparesis syndrome after radical gastrectomy from January 1997 to December 2007 were analyzed retrospectively. Results Diabetes mellitus, hypoproteinemia, preoperative pyloric obstruction, complete Ⅱ type gastrointestinal anastomosis, patients with a higher incidence of PGS. Twenty-five patients were cured by non-surgical conservative treatment. Conclusions The above factors may be the risk factors of PGS after subtotal gastrectomy. These perioperative risks should be corrected or avoided. PGS after radical operation of gastric cancer can be more non-surgical treatment.