摘要
目的分析腹腔镜胃癌根治术的有效性、安全性,探究其临床意义。方法选取2016年1月—2019年1月在该院进行治疗的58例胃癌患者作为该次的研究对象,按照随机数表法分为对照组和观察组,每组29例。对照组实行常规开腹手术进行根治治疗,观察组采取腹腔镜进行根治治疗,治疗后对比两组患者的临床疗效各项指标、C反应蛋白浓度以及并发症发病率。结果经过治疗后,观察组患者的住院时间、术中出血量、切口长度、淋巴结扫清数目以及排气时间等各项临床指标均显著优于对照组(P<0.05);观察组患者在术后1 d、6 d以及12 d的C反应蛋白浓度均明显低于对照组(P<0.05);观察组患者的并发症发病率明显低于对照组,分别为3.45%和17.24%,差异有统计学意义(χ2=8.126,P=0.001)。结论在对胃癌患者实行根治手术时采取腹腔镜手术疗法能够提高各项临床指标,降低C蛋白反应浓度和并发症发病率,具有更高的治疗效果和安全性。
Objective To analyze the effectiveness and safety of laparoscopic radical gastrectomy for gastric cancer and explore its clinical significance.Methods A total of 58 patients with gastric cancer who were treated in the hospital from January 2016 to January 2019 were selected as the subjects of this study.They were divided into the control group and the observation group according to the random number table method,with 29 cases in each group.The control group underwent conventional laparotomy for radical treatment,and the observation group underwent laparoscopic radical treatment.After treatment,the clinical efficacy indicators,C-reactive protein concentration,and complication rate of the two groups of patients were compared.Results After treatment,the clinical parameters of the observation group,such as the length of hospital stay,intraoperative blood loss,incision length,number of lymph node dissection,and exhaust time,were significantly better than those of the control group(P<0.05).The C-reactive protein concentrations were significantly lower than those of the control group at 1 d,6 d,and 12 d(P<0.05);the incidence of complications in the observation group was significantly lower than that of the control group,which were 3.45%and 17.24%,and the difference was statistically significant(χ2=8.126,P=0.001).Conclusion Laparoscopic surgery can be used to improve the clinical indicators,reduce the concentration of protein C response and the incidence of complications when performing radical surgery on gastric cancer patients.It has higher therapeutic effect and safety.
作者
尹登贵
YIN Deng-gui(Department of General Surgery,Lufeng County People's Hospital,Lufeng,Yunnan Province,651200 China)
出处
《系统医学》
2020年第2期71-73,共3页
Systems Medicine
关键词
腹腔镜
胃癌根治术
C反应蛋白浓度
有效性
安全性
Laparoscopy
Radical gastric cancer surgery
C-reactive protein concentration
Effectiveness
Safety
