摘要
目的:探讨胃镜联合腹腔镜微创下治疗胃间质瘤的临床效果。方法:选择30例患者实施常规开放手术,并与30例实施胃镜联合腹腔镜微创的患者比较。对两组患者手术时间、术中出血量以及术后肛门排气时间及两组发生的并发症进行统计。结果:观察组虽然手术时间显著慢于对照组(P<0.05),但是其术中出血显著少于对照组(P<0.05),术后肛门排气时间显著快于对照组(P<0.05),观察组术后发生术后切口愈合不佳、术后严重疼痛的比率分别为3.3%,10%均显著低于对照组的23.3%和40%(P<0.05)。结论:胃镜联合腹腔镜双镜联合治疗微小胃间质瘤,具有肿瘤切除率高,创伤小,术后恢复快等优点,是一种值得临床推广的方法。
Objective: To explore the effect of gastroscopy combined with laparoscopic for gastric stromal tumor. Method: 30 cases with conventional open operation and 30 cases used gastroscopy combined with implementation of minimally invasive laparoscopic, compared two groups of patients with operation time, intraoperative blood loss and postoperative anal exhaust time, In the observation group, the operation time was significantly intraoperative bleeding was significantly less than the control and complications of the two groups. Result: slower than the control group ( P〈0.05 ), the group( P〈0.05 ), postoperative anal exhaust time was significantly faster than the control group (P〈0. 05), the patients in the incidence of postoperative wound healing after surgery of severe pain of the observation group were 3.3% and 10%. they were significantly lower than control group' 23.3% and 40% ( P〈0.05 ). Conclusion: Gastroscopy combined with lapa-roscopy for small gastric stromal tumors has high rate of resection, less trauma, quick recovery after operatio.n and other advantages, it is worthy of clinical application.
出处
《河北医学》
CAS
2013年第4期570-572,共3页
Hebei Medicine
关键词
胃
镜
腹腔镜
开放手术
胃间质瘤
Gastroscopy
Laparoscopy
Open operation
Gastric stromal tumor