胃镜下胃全层切除术中灌注二氧化碳气体和空气对患者术后影响的比较  

The comparison of carbon dioxide and air during the endoscopic full-thickness resection for gastric submucosal tumors

作　　者：戴伟杰[1] 陶国全[2] 孙素华[1] 刘华[1] 周静芳[1] 王琼[1] 杨晓钟[1] 

机构地区：[1]南京医科大学附属淮安第一医院消化科,江苏省淮安市223300 [2]南京医科大学附属淮安第一医院胃肠外科,江苏省淮安市223300

出　　处：《实用医学杂志》2015年第10期1611-1614,共4页The Journal of Practical Medicine

摘　　要：目的:研究胃黏膜下肿瘤(submucosal tumor,SMT)行胃镜下胃全层切除术(endoscopic fullthick-ness resection,EFR)灌注二氧化碳气体和空气对患者术后的影响。方法 :选取在我院行EFR治疗的SMT 37例,将其随机分为空气组和二氧化碳组,对患者的手术时间、穿孔直径、穿孔修复所需钛夹、术后膈下游离气体深度、术后平均进食时间、术后平均住院天数、气腹完全吸收时间等方面进行系统分析。结果:有37例胃SMT患者均成功施行EFR术,术中均有穿孔发生,并顺利进行内镜下缝合,两组在手术时间、穿孔直径、穿孔修复所需钛夹上无统计学差异(P>0.05),而在术后膈下游离气体深度、术后平均进食时间、术后平均住院天数、气腹完全吸收时间上二氧化碳组明显低于空气组(P<0.05)。结论:EFR手术中使用二氧化碳作为胃镜注入气体,能有效的缩短患者术后进食时间和术后平均住院时间,有利于患者的术后恢复。Objective To study the affect of carbon dioxide and air during the endoscopic full-thick-ness resection for gastric submucosal tumors. Methods There were 37 gastric SMTs were treated by EFR, which were randomly assigned into two groups, we summarized the researches from the tumor size, the tumor origin, the diameter of perforation, the pneumoperitoneum and the recovery period, et al. Results All 37 gastric SMTs were treated by EFR successfully, there is no significant difference during two groups for the time of operation, the diameter of perforation （P〉0.05）, however, the average hospitalization days, pneumoperitoneum and the recovery period in carbon dioxide group are obviously ower than that of air group（P〈0.05）. Conclusion Carbon dioxide is an effective method to promote the recovery after EFR, which can reduce the average hospitalization days and recovery period.

关 键 词：胃黏膜下肿瘤 内镜下胃全层切除术 气腹 穿孔 二氧化碳 

分 类 号：R735.2[医药卫生—肿瘤]