腹腔镜与开腹手术治疗胃间质瘤的对比分析  

Comparative Study on Laparoscopic Surgery Treatment and Laparotomy Surgery Treatment of Gastrointestinal Stromal Tumor

作　　者：杨明睿[1] 

机构地区：[1]黑龙江省农垦总局总医院,哈尔滨150088

出　　处：《中国卫生标准管理》2015年第17期70-71,共2页China Health Standard Management

摘　　要：目的：分析腹腔镜下手术与开腹手术治疗胃间质瘤的临床疗效。方法搜集本院消化内科2014年2月～2015年2月诊治的47例胃间质瘤患者，根据手术方式不同分为两组，甲组采用腹腔镜手术治疗，乙组采用开腹手术治疗，对比两组治疗效果。结果（1）甲组患者的手术成功率92.0%（23/25）高于乙组81.8%（18/22），P〈0.05；（2）甲组患者的手术时间、术中出血量、术后通气时间和住院时间优于乙组， P〈0.05；（3）甲组患者的复发率8.0%低于乙组18.2%，P〈0.05。结论腹腔镜下手术治疗胃间质瘤的临床疗效显著，可以有效提高手术的成功率，缩短治疗时间，且术后的复发率低。Objective Clinical effects of laparoscopic surgery and laparotomy surgery in treatment of gastrointestinal stromal tumor are to be comparatively studied.MethodsChoose 47 patients of gastrointestinal stromal tumor who were treated in gastrointestinal department of hospital from February 2014 to February 2015 and separated them into two groups according to different treatment methods,patients in group A were given laparoscopic surgery treatment and patients in group B were given laparotomy surgery treatment,then compared patients’ treatment effects between two groups. Results（1）success rate of surgery treatment in group A was 92.0%（23/25）,which was much higher than 81.8%（18/22）in group B,P〈 0.05.（2）patients’ surgery time,operation hemorrhage,postoperative exhaust time and hospitalization days in group A were much more favorable than counterparts in group B,P〈 0.05.（3）complication incidence group A was 8.0%,which was quite less than 18.2% in control group,P〈 0.05.ConclusionLaparoscopic surgery is of efficacy in treatment of gastrointestinal stromal tumor,it is conducive to increasing surgery success rate and shortening treatment time with few illness reoccurrence.

关 键 词：腹腔镜 开腹手术 胃间质瘤 疗效 

分 类 号：R735[医药卫生—肿瘤]