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目的探讨胃大部切除术后胃瘫的发生原因、诊断及治疗。方法对1996年2月至2005年2月胃大部切除术后出现的11例胃瘫患者的临床资料进行回顾性分析总结。结果本组胃瘫一般发生于术后6～10d,11例均经非手术治愈,9d恢复2例,12d恢复3例、15d恢复4例、20d恢复2例。结论胃瘫的发生是由多种因素诱发,上消化道造影及胃镜检查是诊断胃瘫的可靠方法,采用非手术疗法包括心理治疗、营养支持、适当应用胃动力药物及激素等西医治疗,同时结合中医针灸治疗,可取得良好疗效。
Objective To investigate the causes, diagnosis and treatment of gastroparesis after subtotal gastrectomy. Methods The clinical data of 11 cases of gastroparesis occurred after subtotal gastrectomy from February 1996 to February 2005 were analyzed retrospectively. Results The patients with gastroparesis usually occurred 6 to 10 days after operation. All the 11 cases were cured by non-operation, 2 cases recovered on 9 days, 3 cases recovered on 12 days, 4 cases recovered on 15 days and 2 cases recovered on 20 days. Conclusions The occurrence of gastroparesis is induced by many factors. Upper gastrointestinal angiography and gastroscopy are reliable methods for diagnosing gastroparesis. Non-surgical treatment includes psychotherapy, nutrition support, proper use of gastric motility drugs and hormones and other western medicine, meanwhile, Combined with traditional Chinese medicine acupuncture treatment, can achieve good results.