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目的:报告食管癌切除术后并发幽门梗阻9 例的诊断与治疗。方法:再次手术治愈。结果:男性7 例,女性2 例,梗阻发生时间在术后5 ~9 天,9 例全部经再次手术治愈。其中幽门扭转3 例;胃大弯侧膈下部分褶叠扭转1 例;十二指肠球部周围纤维粘连带2 例;胃上提过高,幽门附近粘连压迫2 例;胰腺部位肿瘤压迫1 例。结论:对此并发症的发生原因、诊断、治疗和预防进行了讨论。
Objective: To report the diagnosis and treatment of 9 cases of pyloric obstruction after esophagectomy. Method: Healing again. Results: There were 7 males and 2 females. The obstruction occurred 5 to 9 days after operation. All 9 cases were cured by reoperation. Among them, there were 3 cases of pylorus torsion; 1 case of pleated and torsion under the sacral part of the greater curvature; 2 cases of fibrous adhesion around the duodenal bulb; 2 cases of hyperpigmentation around the pylorus; 2 cases of adhesion around the pylorus; example. Conclusion: The causes, diagnosis, treatment and prevention of this complication have been discussed.