腹腔镜辅助小切口胃癌根治术治疗进展期胃癌疗效及安全性研究  

Laparoscopic Assisted Small Incision Gastric Cancer Radical Treatment of Advanced Gastric Cancer Efficacy and Safety Studies

作　　者：李建[1] 

机构地区：[1]宝鸡市中心医院,陕西省宝鸡市姜谭路8号721008

出　　处：《中国数字医学》2017年第1期64-66,共3页China Digital Medicine

摘　　要：目的:为提高临床对进展期胃癌的治疗效果并预防和减少术后各种不良事件的发生率,分析和探讨对进展期胃癌选取腹腔镜辅助小切口胃癌根治术治疗的价值和意义。方法:按照随机分组的方法,将2014年4月至2015年4月期间来医院治疗的54例进展期胃癌患者作为研究对象,并遵照双盲对照原则将其分为试验组和对照组各27例。其中对照组患者在治疗过程中选取传统的胃癌根治术进行治疗,而试验组患者在治疗过程中选取腹腔镜辅助小切口胃癌根治术进行治疗,比较不同治疗方案的疗效差异以及对各术后指标的影响。结果:经研究发现,试验组和对照组患者均获得临床疗效,但试验组患者除手术用时外,其术中失血量、切口长度两方面更有优势,且两组治疗方案比较差异具有统计学意义(P<0.05)。试验组患者其住院天数、术后胃肠功能恢复时间和对照组相比明显缩短,且两组治疗方案比较差异具有统计学意义(P<0.05)。结论:对进展期胃癌患者在治疗方案上选取腹腔镜联合小切口胃癌根治术进行治疗,疗效可靠,同时减轻了对患者的机体创伤,更利于患者术后康复,预防和减少了各种不良事件的发生率,值得临床推荐。Objective： To improve the effect of clinical treatment of advanced gastric cancer and prevent and reduce the incidence of postoperative various adverse events, the analysis and discussion of the selection of advanced gastric cancer laparoscopic assisted small incision to treat gastric cancer radical value and significance. Methods： In accordance with the method of random grouping will be between April 2014 and April 2015 to our hospital treatment during the period of 54 patients with advanced gastric cancer as the research object and follow the double-blind comparison principle divided into experimental group and control group, 27 cases of control group patients in the treatment of gastric cancer in the process of selecting the traditional radical treatment, and selection in the process of the patients in the treatment of patients with laparoscopic assisted small incision to treat gastric cancer radical, proportion of different treatment curative effects and influences on the targets of the postoperative. Results： Through the study found that the experimental group and control group patients were clinical curative effect, but the experimental group patients except surgery when their intraoperative blood loss, length of incision, both has the edge, and the treatment is similar between the two groups have statistical significance （P〈0.05）. Experimental group patients hospitalization days, postoperative gastrointestinal function recovery time and the control group significantly reduced compared, and the treatment is similar between the two groups have statistical significance （P〈0.05）. Conclusions： In patients with advanced gastric cancer treatment on selection of laparoscopic combined small incision to treat gastric cancer radical, curative effect is reliable, at the same time reduce the trauma of patient airframe, more conducive to patients with postoperative rehabilitation, prevent and reduce all kinds of the incidence of adverse events, worth clinical recommendations.

关 键 词：进展期胃癌 胃癌根治术 腹腔镜 临床疗效 

分 类 号：R714[医药卫生—妇产科学]