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目的探讨食管癌及贲门癌术后并发胃瘫的预防和处理经验。方法分析解放军第180医院2002-02-2010-07收治食管癌、贲门癌术后并发胃排空障碍7例的常见原因与预防。结果本组6例患者经禁食水,持续胃肠减压,抑制消化液,营养支持,使用促胃动力药等保守治疗治愈,1例机械性胃瘫手术解除梗阻。结论正确的手术操作和术后处理是可以预防食管癌、贲门癌术后胃瘫,且术后胃瘫大多数为功能性,经保守治疗可治愈,机械性胃瘫需尽早期手术治疗。
Objective To explore the prevention and treatment of gastric paralysis after esophageal and cardiac cancer surgery. Methods Analysis of the common causes and prevention of 7 cases admitted to the 180th Hospital of People ’s Liberation Army 2002-02-2010-07 after esophageal cancer and gastric cardia cancer complicated with gastric emptying. Results Six patients in this study were cured by conservative treatment of fasting water, continuous decompression of gastrointestinal tract, suppression of digestive juice, nutritional support and the use of gastric motility agents. One case of mechanical gastroparesis was relieved of obstruction. Conclusions Correct operation and postoperative treatment can prevent postoperative gastroparesis of esophageal and cardia cancer. Most of postoperative gastroparesis is functional and can be cured by conservative treatment. Early surgical treatment of mechanical gastroparesis is required.