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目的:探讨BilrothⅡ(BⅡ)术后固体餐的残胃排空和小肠转运动能。方法:应用PHY99mTc标记的固体餐,对正常健康者(A组)、胃窦癌病人(B组)和BⅡ病人(C组),分别进行胃排空和小肠转运功能的研究。结果:C组餐后10min胃排空率比A、B组显著增加(P<0.01);胃半排空时间明显减少(P<0.01)。而初排后胃的排空率C组[(283±54)%/h]及B组[(26±52)%/h]均比A组[(387±45)%/h]低。小肠转运时间C组比A、B组显著延长(P<0.01)。结论:BⅡ病人和胃窦癌病人胃初排空后存在胃排空延迟现象。同时,前者初排空显著加快,且小肠转运时间明显延长
Objective: To investigate the residual gastric emptying and intestinal transit kinetic energy of solid meal after BilrothⅡ (BⅡ). Methods: The gastric emptying and small intestine transit were studied by using PHY99mTc labeled solid meal, respectively, in normal healthy subjects (group A), gastric antrum cancer patients (group B) and BⅡ patients (group C). Results: The gastric emptying rate in group C ten minutes after operation was significantly higher than that in groups A and B (P <0.01). The gastric emptying time was significantly decreased (P <0.01). However, the rate of emptying in the rear row was significantly higher in group C than in group A [(283 ± 54)% / h] and group B [(26 ± 52)% / h] [(387 ± 4 5)% / h] low. Intestinal transit time in group C was significantly longer than that in groups A and B (P <0.01). Conclusion: There is a delayed gastric emptying in patients with B Ⅱ and gastric antrum after initial emptying. At the same time, the former significantly faster initial emptying, and intestinal transit time was significantly longer