食管癌术后胸胃排空障碍探讨

食管癌术后胸胃排空障碍探讨 2005??cg?)?M2???M2?.?r ???????Z?8???????????????? ?l???c?????R??(?????K???????'???????s??????453100) [????JA???????????????Z?8?????????????????????b??????J0??????1990-2003????25?????????Z?8?????????? ?????4???O???'???????????T?3???.?????.?r?????????Z??0.9%J0?????????T??????????18???.?z?????????)?.?I???T?????? ????7???.?????Z???)??????J0???????????Z?8???????????????K???????I?????T?.???????????????)?.?A???I?I???T???K?.?d ?u?????????Z?????.?Z?,???5???????????????????????r???.?K?)?8???????????K?)?????????????????Z???b??????????J0 [???W??JA??????;???????????? Analisisofdyskinesiaofgastricafteresophagectomy(CuiYu TheFirstHospitalofXinxiangMedicalCollege,WeihuiCity,453100 ZhangJieWangYonglianDept.ofCardiothoracicsurgery, China) [Abstract]ObjectiveTosearchthecausesandthemethodsofpreventandtreatmentofthedyskinesiaofgastricafteresoph- agectomy.Thedatasof25patientswhohavedyskinesiaofgastricafteresophagectoywereretrospected,whichwere0.9 percentofthewholedatasfrom1990to2003.ResultsThe18patientswhohavefunctionaldyskinesiaofgastricand7patientswho haveorganicdyskinesiaofgastricwereallcuredbyconservativetreatmentandoperationrespectively.ConclusionThemaincausesof thedyskinesiaofgastricafteresophagectomywasfunctionalandthepatientscouldbecuredbyconservativetreatment.Butthepatients whohaveorganicobstructionhadtohaveanoperationintime.Thenormalmethodofoperatio ncoulddecreasethenumberofthepa- tientswhohavethecomplication.Itwasimportanttopreventthecomplicationthroughinspec tingtheanastomotictissueandpylorusaf- teranastomosis. (Keywords)Esophagealcancer;Dyskinesiaofgastric ?????????Z???????????R?F?????Z???7?.?Z?8?D?????? ???????r???s?????Z???(???????.?????Z?8???r?????????? ???.???v???r?????.?V???u?????????4?Z?8???%???r?K?F???. ??1994-2003???A?????????????1???????????Z2758???.?Z ?8????????????????25???.???r???I0.9%J0???????T?3?? ?O???'???.???????????-: 1?O???'?? ????25???,?.?w..16???.??9???.???????????K?)?419???. ?????K?)?46??J0 1.1?????T?????????????w13???.??5???.????38-76 ???.???z56.8???.???,?????K?)12???.?????K?)6???.???r?F ?Z?85?????H?.?????????8?????????8????J2?l??J2????J2?? ?lJ2?????????N???;?.???;???I?Y?[?????????N???????.???? ?????8???????D?s?????.?B???????8?????????????.?????i?N ???????z700m1,X?????;?????.???????????c?.???????????[ ???T???????.???c???????.?i???????D?s???D?.???U?F?????( ?K???.?????????I???i???????D?s???????i???.?????y?R???? ?V???????a?y???.18???z?????????????)?.?????r?J???)???? ???z20?H(8??30?H)J0 1.2?I???T?????????????w6???.??1???.????42-74???. ???z53???.???,?????K?)5???.?????K?)2???.???r?F?Z?84 ??10?H?.?????8?????T?T?????.?.?V?i?N???????8?6???y?.?? ?z1000m1/???.?y?I?;???????.?%?x???N?.X?????;?????I???? ?c?.?????K?????I?.?????U?y???????.?????%???y???????.?i?? ???8?6J0?M??7???z???????????.???????F?????(????3600 2???.????18001???.?R???????????Y?????5??1???.?????? ???(?g?)???T1???.???????9???.??????????1???.???????[ ???????????????????.???K1???.???,2??????????J2?????? ???????K?)?Z?.2???B???%?.?????????????????(?3?.2???? ???%???????K?)?.1?????????;???Z?.7???I???T?????????? ???z?F?Z?8?a??J0 2???? 2.1?????????T???????????????)???W???M???'???.?A?? ?3???K???[?-?o???c:C??????????1???8?????c???-???.?i?? ?????.???????????9???.?y???2?????k?.??????????????;C??? ???R?????????????.???????????r???s?.???8?N???????????? ??????????????????;C??????N?????O?????????c?3?????A?. ?i?????N?T???????????????A?z????????????????Lcd??ZJ;C? ?Z?,????????????J2?C??J2???????%?.?-???O?????L?????A?. ?????????c??;C??Z?8????????????J2?????????%?P?3?.???? ???????.???????????????%?.?c?;????????????J0 ?I???T???????????????????y?8???Z?????[???1?????. ???)???W???M???'???A?????I?I???T???????K???K?????? ?[:C??Z?,???????9???3????????;C??????????X?T?s0???? ???X??????????;C??????T???????????Y?s?????Y????????J2 ?????s?N???0??;C??????????X?????T?????.????J2?N???1?? ?????????.?i???????????????K?.?s?????????Y???????????; ?H????;C??K?)???A?d???.?K?)???????F?????(???r180- 360ce????;C????????r???????.?????????????????r?B???c?; ??????J0 2.2?????8???x???????????Z?8???????????????????? ?%?????.?K?????O???????????????.?M???????O???????? ??:C??Z?8?%?P?????????.?????????;J2????J2?l??J2???R???? ???????.?????????8???????D?.(?-???M7??) 10?K?????y?'iflMEDICINEINDUSTRYINFORMATION 2005??11?)?M2???M 2000,8(4)241??243 21?rcl???????? ?????.?X?????.?V???????Z??????????721???Z?,?????c?????? f11????.ifi?y(K?????????.1999?.19(3):251??252 ??????.????????cf13?K?????3Ml1jB???L???????O???l??.???? ?,D??,2000,31(4)8??9 ???????.?????.?????????.?X???0?????????????????????c?3??. ']rI:??????Ii?r?.2000,16(8) Tomeckir,etal.CholecystolithiasisintheurbanpopulationofPoland polArchMedWewn1955:94(3)234 ???p?.???????)???J?I???T?????????????c?????????l??.???? ???b?K???U???.2000,6(4):246??247 LaVecchiac.NegriE.DAvanzoB.etal.riskfactorsforgallstone disasereguiringsurgery[J].IntIEpiderniol1991:20(3)209??221 ???H?S?.???V???.?4?m??.???????;???l??????.?,?????F?s???? ?U???.2001,21(2):123??125 J2 3?0?l???5???5?l?l5?1?l?l?r?????????2?????r?0?l???????.???l?????l???????????0?r?0 ?????l?O?0?l?r?2???????????l?????3?l???????????3?l?l?r?2?l5?J?l?l?l?r?3 (?9???M10??) ?B???????????????????.???E???????????????R???8?6????; C?????X???????????????8?6???c?.???????????T???????? ??????;C????%?c???U?????????%???????s???A??????J0?? ???????????????8?.???x???I???????Z?I???T???R?????.???I ?I???T?????????Z?.?.?????T???M???????????????)?.???x?? ?????????-??????????:C??????T?????????????????????? ?????.?O?????????.?????i?N???A?.???[???N???N?.?.?I???T?4 ?????????.?y?F?Z?8cf????1?O?????????.?????y?.???M???? ?N;C????;?????????K?????%?F?????(?d???M?????I?I???T?. ???F?????l???K?(???U?????????3???.24?7???8?[?A?????U ?y???.?d?????T?????????????T?T?.???????-???%?J?????s?? ?J?????8?????????y???.?s???I?y???.?l?K?????T?.???????J ???I???i?????.?d???M???5???I?I???TJ0?[???4???I?????? ???????.?R?c??????????B???????????????????x???????? ??[1,3,47J0 2.3?????????????8???.?????????.?????????.???????,?? ????J2?????????????O?j???F?D???.???????[???u??J0?????T ???????????????M?????????????r???)J0?A?????)???W???M ???'?????I?????????K???F?????-??????:C????????4???T ?c?????.?a?????4???r?-???y?K???.?A???????.???????????? ?);C????r???????????????.?????????K?)???O???.???????c ?????%;C????7???2?O?j???F?????.???I?Z?2?????.???[???F ???u???c?s?N???1???u?????K??;C????F?o???]?.???????H?? ?????????s?,???????3?l??????;C??????????F5%???o???O ?s0.2%?H?y?????????T?[?c???o???.?B?????????????.???? ?O??????J0 ?I???T?????????????4?????????Z?.?????%???????K?) ?Z?s?????;???Z?????????K???c?.?????????????K?)?.?????? ???K?)?ZJ0?????????%?a???x?????.???????M?????????%?? ?????????????????????????????.???a?????????????T?4?. ???????????????.?????????I???T???????????????????.???? ???????c???????????????u??????J0 2.4?)?)???????????????b?????T???????????.?D???????y ?X?8???.???????????b?.?A???????y?Z?Z???????O?j???F?9 ??J2?x?L?.???????L???.???????????O???.?Z?,?????????.???? ?????R???.?:?????A?C???????.?b???????x?C?.?Z?8?2???[?? ???????????????????M???????rJ0?.?????I???T?????????? ?????r???????R?8???Z?????[???1???????.?A?????I?F???? ???????1???????????7???-?????.???????Z???????b??:C??F ???????????K?)???.???[?????????3???????A?3???.?????r?? ???.?K?)???????????K?)?????c???.?????????????????9??; C??Z?,?R???????.?R?????????P?3?????????????.?F???????? ?r?K?)???????R???N???1???.C????2???F???????s?????????. ?K?)?????3?????8?????????????????.?????b???????????? ???????6?????????????.???????v?Z?8?????????????????R ????????J0C????????????????.???7???????????.?????????? ?????????[?J?????T?????4?.???????3?T???????y???????? ???????.???????[?c???.???N?????I?.???3?????8AA???????? ???.?????????8???????????????C?1?.?b?????????????????? ??J0?K???.???Z?,???????5???????.?????????Z?8?????????? ???????r???.?K?)???;?8?????????K?)?????????????????Z ???b??????????J0 ???5???W I?p?[???.???R???.?l???????????1???Z?8?????????????????b?? ???????y?K???.2002,16(2):156-157 ???????.???u?H?.????.???????Z?8????????????11???3??.?,?? ???????U???.2002,2(l):135 3--?R???.?c???y?.?c?T?I?.27?????????1???Z?8??????????.?,???? ???L???s???U???.1998,14(4);224??226 ???????.??TA?A?.???)????.???????Z?8?????????????????????? ??.???o?K??,2003,25(9);674 (?9???M39??) ?L?V???L?3???1?????B???????z?8?6?f?????????.???????O ???????.?l?%???????????.?%???????(?3J0?F?O???9?E???? ??J0 ???5???W I????2???K?s.?O???L???N????[M].?????K???T???????6?.2001; 139??]60 ???H???.??1'r???.??????.???s?R?????c???????????8?L?V???c?O ???????.?????8?O???.1990,9(3):129 ?????:?.???7?E?.??????.?/???????????????u?T?????r?????[???? ?L?V?????c??1,2???????????.?O???????U???.2001,18(5);344 ??????.?,?????????c???T?s?W???????l???????K?????? 2001?.7(2):124 MEDICINEINDUSTRYINFORMATION?K?????y?'??7