腹腔镜联合胃镜手术治疗胃间质瘤的效果探讨(1)
[摘要] 目的 探讨对胃间质瘤患者行腹腔镜+胃镜手术联合治疗的临床效果。方法 方便抽取2016年2月—2017年1月该院接收的76例胃间质瘤患者进行分组研究，接受腹腔镜+胃镜手术联合治疗的38例患者作为综合组，将同期接受开腹手术治疗的38例患者作为开腹组，将所收集的数据进行比对，观察两组并发症发生几率以及手术指标。结果 综合组的并发症发生几率1例(2.63%)明显低于开腹组7例(18.42%)，综合组的手术时间(84.02±16.18)min、术中出血量(77.89±13.15)mL等指标明显低于开腹组(91.45±12.25)min、(185.12±20.65)mL，差异有统计学意义(P<0.05)。结论 对胃间质瘤患者行腹腔镜+胃镜手术联合治疗，能够缩短患者手术时间和住院时间，减少患者术中出血量，具有术后并发症少、恢复快等优势，对于患者的术后恢复具有十分显著的作用。
[关键词] 腹腔镜手术；胃镜手术；胃间质瘤患者；并发症；住院时间
[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742(2018)02(a)-0063-03
Effect of Laparoscopy Combined with Endoscopic Surgery on Gastric Stromal Tumor
ZHANG Qing-dong
General Surgery Department， Juxian People's Hospital， Juxian， Shandong Province， 276500 China
[Abstract] Objective This paper tries to investigate the clinical effect of combined laparoscopy and gastroscopic surgery on patients with gastric stromal tumors. Methods A total of 76 patients with gastric stromal tumors received from this hospital from February 2016 to January 2017 were enrolled in this study. Thirty-eight patients undergoing combined laparoscopic and gastroscopic surgery were enrolled in the combined group. Patients in the same period adopting open surgery as an open surgery group， the data collected were compared to observe the incidence of complications and surgical indicators in both groups. Results The incidence of complications in the combined group was significantly lower than that in the open group (2.63%， 18.42%)， the operative time(84.02±16.18)min in the combined group， and the bleeding volume in the combined group (77.89±13.15)mL， lower than those in the open surgery group of (91.45±12.25)min， (185.12±20.65)mL，with statistically significant difference(P<0.05). Conclusion The combination of laparoscopy and gastroscopy in patients with gastric stromal tumors can shorten the operation time and hospital stay， reduce the amount of intraoperative bleeding， with less postoperative complications， rapid recovery and other advantages for patients with postoperative recovery has very significant effect.
[Key words] Laparoscopic surgery； Gastroscopy； Gastric stromal tumor； Complications； Length of stay
胃間质瘤是临床上较为常见的一种消化道疾病，临床研究结果显示，胃间质瘤的发生几率可达50%～60%左右，患者在患病早期并无十分明显的临床症状，伴随患者病情的进展和恶化，一段时间后患者容易出现腹痛、消化道出血以及腹胀等临床症状，若未给予临床治疗和处理，将会严重危害患者的身体健康和生活质量。大量临床研究认为，胃间质瘤虽然属于一种良性肿瘤疾病，但是在此期间患者容易发生不同程度的病变，因此，早期的临床诊断和治疗具优势十分重要的作用[1]。临床上通常采取开腹手术的传统治疗手段，但是，术后容易增加患者并发症的发生几率，严重影响患者的预后恢复[2]。近几年来，伴随腹腔镜技术的发展不断完善和成熟，方便该院择取2016年2月—2017年1月接收的76例胃间质瘤患者，讨对胃间质瘤患者行腹腔镜+胃镜手术联合治疗的临床效果，现报道如下。, http://www.100md.com(张庆东)
[关键词] 腹腔镜手术；胃镜手术；胃间质瘤患者；并发症；住院时间
[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742(2018)02(a)-0063-03
Effect of Laparoscopy Combined with Endoscopic Surgery on Gastric Stromal Tumor
ZHANG Qing-dong
General Surgery Department， Juxian People's Hospital， Juxian， Shandong Province， 276500 China
[Abstract] Objective This paper tries to investigate the clinical effect of combined laparoscopy and gastroscopic surgery on patients with gastric stromal tumors. Methods A total of 76 patients with gastric stromal tumors received from this hospital from February 2016 to January 2017 were enrolled in this study. Thirty-eight patients undergoing combined laparoscopic and gastroscopic surgery were enrolled in the combined group. Patients in the same period adopting open surgery as an open surgery group， the data collected were compared to observe the incidence of complications and surgical indicators in both groups. Results The incidence of complications in the combined group was significantly lower than that in the open group (2.63%， 18.42%)， the operative time(84.02±16.18)min in the combined group， and the bleeding volume in the combined group (77.89±13.15)mL， lower than those in the open surgery group of (91.45±12.25)min， (185.12±20.65)mL，with statistically significant difference(P<0.05). Conclusion The combination of laparoscopy and gastroscopy in patients with gastric stromal tumors can shorten the operation time and hospital stay， reduce the amount of intraoperative bleeding， with less postoperative complications， rapid recovery and other advantages for patients with postoperative recovery has very significant effect.
[Key words] Laparoscopic surgery； Gastroscopy； Gastric stromal tumor； Complications； Length of stay
胃間质瘤是临床上较为常见的一种消化道疾病，临床研究结果显示，胃间质瘤的发生几率可达50%～60%左右，患者在患病早期并无十分明显的临床症状，伴随患者病情的进展和恶化，一段时间后患者容易出现腹痛、消化道出血以及腹胀等临床症状，若未给予临床治疗和处理，将会严重危害患者的身体健康和生活质量。大量临床研究认为，胃间质瘤虽然属于一种良性肿瘤疾病，但是在此期间患者容易发生不同程度的病变，因此，早期的临床诊断和治疗具优势十分重要的作用[1]。临床上通常采取开腹手术的传统治疗手段，但是，术后容易增加患者并发症的发生几率，严重影响患者的预后恢复[2]。近几年来，伴随腹腔镜技术的发展不断完善和成熟，方便该院择取2016年2月—2017年1月接收的76例胃间质瘤患者，讨对胃间质瘤患者行腹腔镜+胃镜手术联合治疗的临床效果，现报道如下。, http://www.100md.com(张庆东)