腹腔镜胃癌根治术与开腹术式的疗效及安全性比较的临床研究  

Comparison of efficacy and safety of laparoscopic radical gastrectomy for gastric cancer

作　　者：黄俊晓[1] 麦观保[1] 李宇鸿[1] 吴上聪 

机构地区：[1]广东省吴川市人民医院,524500

出　　处：《齐齐哈尔医学院学报》2016年第2期158-160,共3页Journal of Qiqihar Medical University

摘　　要：目的研究比较腹腔镜胃癌根治术与开腹术式的疗效及安全性。方法选取2011年12月至2014年12月三年内我院收治的胃癌患者104例并分为对照组与研究组。统计相关指标并定期对所有患者进行复查,比较两组患者并发症、GLQL评分等。结果研究组手术时间和术中出血量明显优于对照组;研究组的术后各项指标均明显优于对照组;研究组的并发症发生率明显小于对照组;研究组VAS评分小于3分的人数(包括0分)明显多于对照组;研究组患者GLQL评分明显大于对照组,以上差异均具有统计学意义(P<0.05);两组患者淋巴结清扫数量没有明显差异。结论腹腔镜手术创伤小,疗效较好,值得临床推广应用。Objective To study the efficacy and safety of laparoscopic radical gastrectomy and open operation for gastric cancer. Methods From December 2011 to December 2014,three patients with gastric cancer in our hospital were divided into control group and study group. According to the different operation mode of all patients were divided into control group and research group. The related indexes were reviewed,and the complications and GLQL score of the two groups were compared. Results The study group＇s operation time and blood loss were significantly better than that of the control group. The incidence of complications in the study group was significantly better than that in the control group. The VAS score in the study group was significantly higher than that in the control group,and the difference was statistically significant（ P〈 0. 05）. There was no obvious difference in the number of lymph nodes dissection. Conclusions Laparoscopic surgical trauma is small,and the curative effect is good,so it is worthy of clinical application.

关 键 词：腹腔镜胃癌根治术 开腹术 安全性 胃癌 

分 类 号：R735.2[医药卫生—肿瘤]