腹部手术后胃瘫15例的诊治经验

摘要

目的 探讨腹部手术后胃瘫的诊断和治疗策略.方法 回顾性分析2007年5月至2012年5月间15例腹部手术后胃瘫临床资料,发生胃瘫的时间为术后5~7 d,全组病例均自胃管注入30%泛影葡胺溶液,进行胃肠造影检查,4例做胃镜检查,明确无机械性胃出口梗阻后,全组病例均施行非手术的保守治疗.结果 全部病例经14~42 d的非手术治疗,均恢复胃动力,正常进食半流质后出院.结论 确诊为术后胃瘫的病例,均可采用非手术的方法治疗,取得良好效果.%Objective To explore the diagnostic and therapeutic strategies of abdominal postoperative gastro-paresis. Methods Between May 2007 and May 2012, total 15 cases of post-operative gastro-paresis underwent treatment in our center and their clinical data were retrospectively analyzed. The gastro-paresis in these patients was presented at the 5-7 day in post-operation. The 30% concentration of urografin solution was injected using gastric tube for contrast examination in all patient, in which 4 cases underwent gastroscopy for exclusion of gastric outlet obstruction. Results All patients undertook non-surgical preservative treatment for 14-42 days, and discharged after recovery of gastric motility or normal semifluid diet. Conclusion Satisfactory therapeutic efficacy could be found in patients with post-operative gastro-paresis.