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目的探讨腹部手术后胃瘫的病因、诊断及治疗。方法对我院2004年1月至2009年12月腹部手术后出现的胃瘫5例患者的临床资料进行回顾性分析。结果本组病例中4例保守治疗患者于术后14～60d后胃功能恢复,1例因行胃镜检查后疑有吻合口漏行再次手术治疗,再次手术后2周胃功能恢复,拔除胃管。结论术后胃瘫是功能性疾病,由多种因素引起,经严格保守治疗绝大部分可自行缓解,仅有极少数顽固性胃瘫需再次手术。
Objective To investigate the etiology, diagnosis and treatment of gastroparesis after abdominal surgery. Methods The clinical data of 5 patients with gastroparesis appearing after abdominal surgery from January 2004 to December 2009 in our hospital were retrospectively analyzed. Results Four cases of conservative treatment in this group of patients after gastric recovery 14 ~ 60d after surgery, 1 case of suspected anastomotic leakage after gastroscopy reoperation, reoperation 2 weeks after gastric function recovery, removal of the gastric tube . Conclusion Gastroparesis is a functional disease, caused by many factors, most of which can be relieved by strict conservative treatment. Only a very few refractory gastroparesis patients need reoperation.