【摘要】 目的 探讨上腹部手术后胃排空障碍的病因、发生机制、诊断和治疗方法。方法 对2000年1月～2005年1月上腹部手术后出现的32例胃排空障碍的临床资料进行回顾性分析。结果 功能性胃排空障碍均发生于腹部手术后4～12天。全部病例经非手术治疗于术后14～35天均恢复胃动力痊愈出院，平均恢复时间为17.8天。结论 上腹部手术后功能性胃排空障碍的病因是多因素的，诊断手段主要靠消化道造影及胃镜检查，采取非手术疗法可治愈胃排空障碍，避免再次手术。

    【关键词】 胃排空障碍；上腹部手术

    Clinical analysis of functional delayed gastric emptying after epigastrium operation of 32 patients

    MA Xing-jiu,GENG Zhen-hong,LI De-chun.

    Department of General Surgery,Shengli Hospital of Shengli Oil Field,Dongying 257055,China

    【Abstract】 Objective To study the etiology，mechanism，diagnosis and treatment of functional delayed gastric emptying (FDGE) after epigastric zone operation.Methods From January 2000 to January 2005，32 cases of FDGE were analyzed retrospectively.Results FDGE usually occurred in 4 to 12 days after epigastric zone operation.All patients were recovered within 14 to 35 days by conservative therapy.The mean recovered time was 17.8 days.Conclusion FDGE is caused by multiple factors.G-I series and endoscopy are valuable in the diagnosis and differentiated diagnosis of FDGE. Patients with FDGE can be cured by conservative treatment.Re-operation should be avoided as far as possible. ......