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消化性溃疡伴胃出口梗阻的病例于胃迷走神经切除加引流术后50%发生慢性胃瀦留,用各种非手术或手术方法治疗均无效,最后需作全胃或近全胃切除才能解除症状。本文报告8例,主要介绍近全胃切除术前胃排空试验、术后测压法空肠运动功能试验和随访的结果。8例(女7例、男1例)年龄31～59岁。首次手术为:迷切加BⅡ胃空肠吻合5例,迷切加BI2例,壁细胞迷切加幽门成形1例。术后胃瀦留,用促动力药和多次(0～3次)手术治疗。手术种类为:重作BⅡ,改BⅠ或BⅡ为Roux-en-Y,改幽门成形为幽门窦切除加
Peptic ulcer with gastric outlet obstruction in patients with gastric vagotomy and drainage after 50% of chronic gastritis, with a variety of non-surgical or surgical treatment are ineffective, the final need for whole or near total gastrectomy in order to relieve the symptoms. This article reports 8 cases, mainly describes the gastric emptying test before subtotal gastrectomy, postoperative manometry test jejunal motor function test and follow-up results. 8 cases (7 females, 1 males) aged 31 to 59 years. The first operation was as follows: 5 cases of constipation plus B Ⅱ gastrojejunostomy, 2 cases of congenital obstruction plus BI2, and 1 case of parietal cell degeneration combined with pylorus formation. Postoperative gastric retention, with the motility drug and multiple (0 to 3 times) surgery. Surgery types: re-operation B Ⅱ, change B Ⅰ or B Ⅱ Roux-en-Y, change the pylorus formed pyloric sinus resection plus