目的 探讨胃大部切除术后残胃功能性排空障碍（FDGE）的发病机理、诊断及治疗。方法 对1993~1998年我科256例胃大部切除术患者的临床资料进行回顾性分析。结果 本组共发生FDGE 12例，发生率为4.7％(12/256)，均发生于术后3~12天。于1周内治愈1例(8.3％)，2周内治愈8例(66.7%)，3周内治愈11例(91.7%)； 所有患者于32天之内经保守治疗治愈出院。结论 术后残胃和远端空肠正常的运动功能破坏是发生FDGE的主要原因； 消化道造影及胃镜检查是诊断本病及与机械性梗阻相鉴别的重要方法； 采取非手术治疗一般可治愈，针对胃排空动力学机理采用促胃肠动力药物能收到较好的疗效。
目的 探讨消化道吻合器在中、低位直肠癌保肛手术中的应用。方法 回顾分析120例直肠癌患者应用吻合器行保肛手术的临床资料。结果 本组保肛手术成功率为98.3%（118/120），吻合口漏发生率为3.3%（4/120），吻合口狭窄发生率为4.2%（5/120）。结论 在中、低位直肠癌行直肠前切除低位或超低位吻合术中使用吻合器，具有吻合成功率高，并发症少，操作安全简便的优点。
The substitution of ρ-shaped jejunum for stomach in 64 patients with gastric carcinoma after total gastrectomy is reported . Survival rate of the first, third anad fifth year afer surgery were 71.8%,42.2% and 34.4% respectively.Postoperative death and complications with fistula of anastomotic stoma , refulx esophagitis and dumping syndrome were not encountered in this all series. These results show that the operative procedure is a simple, safe, and can be accomplished within short time and that the quality of living of the patient is good.
This paper reports hat there are 55 cases of complex obdominal surgical diseases in 1422 patients admited for cholecystectomy. 16 of 55 were maliglant diseases, such as gastric carcinoma, gallbladder carcinoma, pancreatic carcinoma, etc, and the others were benigh diseases (cholecysto-duodenal fistula, cholecysto-transverse colonic fistula, petic ulcer…).All the 1422 patients operated in by open cholecystectomy and the mentioned complex obdominal surgical diseases were treated at the samw operative time with cholecystectomy. Such complex surgical diseases could not be treated at the same time, if the operations were laparoscopic chlecystectomy.
目的 报告螺纹管在左半结肠梗阻造瘘术中的应用以及术后护理的体会。方法 对近年来收治的36例左半结肠癌性梗阻患者行急诊梗阻近端结肠螺纹管造瘘，并与同期施行的20例结肠造瘘一期外翻成形做比较。结果 结肠螺纹管单腔造瘘术操作简单，术后患者获得满意的减压效果，未发生切口感染。而一期外翻成形者有3例发生切口感染。结论 左半结肠梗阻术中行螺纹管造瘘是一种简单、经济、省时、低污染、减压效果好、护理方便的手术方法。
Objective To investigate the infection rate and observe the healing courses of the incision after gastrointestinal surgery which was managed by positioning extraperitoneal U-type latex drainage strip. Methods Two hundred patients after abdominal operation were divided into drainage group (n=97) and control group (n=103). Drainage group were treated with positioning extraperitoneal U-type latex drainage strip, while control group were treated with no latex drainage strip. The infection rate of incision, the mean time in hospital and mean time of incision healing were observed. Results The infection rate of drainage group was significantly lower than that of control group 〔7.22% (7/97) vs. 18.45% (19/103), P=0.024〕. The mean time in hospital and the mean time of incision healing in drainage group were significantly shorter than those in control group 〔(8.86±1.48) d vs. (14.12±2.63) d， P=0.000； (8.24±1.02) d vs. (12.32±3.47) d， P=0.000〕. Conclusion The infection rate and the healing course of incision of gastrointestinal surgery could be improved by positioning extraperitoneal U-type latex drainage strip.