摘要：目的：探讨胃大部分切除术后排空障碍的原因和治疗。方法：回顾分析18例胃大部分切除术后功能性和机械性残胃排空障碍的临床特点，选择手术和非手术治疗的措施。结果：经保守治疗后痊愈、好转11例，行手术探查7例，术中证实为机械性梗阻。1例行输出、输入段空肠侧吻合，1例仅作探查并空肠造瘘。术后均治愈或好转出院。结论：胃大部分切除术后残胃排空障碍可为功能性因素也可为机械性因素所致。根据其临床表现，X片钡餐或胃镜检查以鉴别，如无绞窄征象应先保守治疗，若无缓解征象应考虑手术探查。

    关键词： 胃大部分切除术； 残胃排空障碍； 机械性梗阻

    The Clinical Analysis of 18 cases of Gastric Remnant Ejection Disturbance After Subtotal Gastrectomy

    XU Cai-wen

    (Chang'an Hospital of Dongguan City, Guangdong Dongguan 523800, China)

    Abstract: Objective: To manage the reason and treatment of ejection disturbance after subtotal gastrectomy. Method: Review and analysis the clinical characteristics of 18 cases of gastric remnant ejection disturbance after subtotal Gastrectomy, and chooses measure of operation and non operation. Result: It has completely recovered and turn for the better of 11 cases after keep treatment. Operative exploration 7 cases, and it had proved mechanical obstruction on operation. One case on side-to-side gastrojejunostomy, one only on fish for jejunocolic fistula. It all completely recovered or turn for the better after operation. Conclusion: The ejection disturbance of gastric remnant after subtotal gastrectomy is divided into factors: functional and mechanical. According to its clinical manifestation, barium meal examination or gastroscopy and take into discriminate. If have no strangutation to keep first the treatment, if have no alleviate to consider on operation. ......