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目的探讨胃癌术后残胃无力症的病因与治疗。方法对近10年1469例胃癌行胃大部切除术后发生残胃无力症46例病人进行病因和治疗结果回顾性分析。结果残胃无力症的病因是综合因素引起,病人对手术的恐惧和精神紧张可能是最主要的诱因。胃癌行大部切除术后发生持续性呕吐,呕吐量>800ml/d。经消化道造影和胃镜检查诊断为残胃无力症,行保守治疗,包括胃肠减压、胃肠内和外营养支持、各种促进胃肠蠕动药物和对症处理,平均治疗14.6天全部治愈。结论胃癌行胃大部切除术后发生残胃无力症是多因素引起,其中精神因素可能为最主要因素。经过检查一旦诊断为功能性残胃无力症,治疗原则为消除患者紧张性情绪,保守治疗,应避免再次手术。
Objective To investigate the etiology and treatment of postoperative gastric invagination. Methods A retrospective analysis was performed on the etiology and treatment of 46 patients with gastric invagination who underwent mastectomy for 1469 cases of gastric cancer in recent 10 years. Results The cause of gastric invalidity was caused by a combination of factors. Fear of patients and mental stress may be the most important incentive. After radical resection of gastric cancer, persistent vomiting and vomiting> 800ml / d. The gastrointestinal imaging and gastroscopy diagnosis of gastric invalidity, conservative treatment, including gastrointestinal decompression, gastrointestinal and external nutritional support, promote various gastrointestinal motility drugs and symptomatic treatment, the average treatment of 14.6 days all cured. Conclusions Gastric gastric cancer is caused by multiple factors in gastric invagination after partial gastrectomy, of which mental factors may be the most important factor. After checking once diagnosed with functional stuttering, the principle of treatment to eliminate tension in patients with conservative treatment should be avoided again.