腹腔镜手术与传统开腹手术对胃肠肿瘤患者的临床疗效及血凝状态的影响  

The effect of laparoscopy and traditional laparotomy on the clinical effect and hemagglutination state of the patients with gastrointestinal tumor

作　　者：王永平[1] 侯勇[1] 

机构地区：[1]云南省曲靖市第一人民医院普外科,655000

出　　处：《中国社区医师》2018年第6期76-76,78,共2页Chinese Community Doctors

摘　　要：目的:探讨腹腔镜手术与传统开腹手术对胃肠肿瘤患者的疗效。方法:收治胃肠肿瘤患者40例,随机分为对照组和观察组各20例,对照组行传统开腹手术,观察组行腹腔镜手术。结果:观察组手术时间、术中出血量及住院时间各项指标均优于对照组(P<0.05),但术后24 h凝血酶原时间(PT)明显大于对照组(P<0.05)。结论:腹腔镜手术治疗胃肠肿瘤安全性高、疗效确切,但易造成术后高凝状态,应当根据患者情况合理选择手术方案。Objective:To investigate the effect of laparoscopic surgery and traditional open abdominal surgery on the patients with gastrointestinal tumors.Methods:40 patients with gastrointestinal tumor were selected,they were randomly divided into the control group and the observation group with 20 cases in each group.The control group were operated on the traditional laparotomy,and the observation group were operated by laparoscopy.Results:The operative time,intraoperative blood loss and length of stay in the observation group were all better than those in the control group(P<0.05),but prothrombin time(PT) of 24 h after operation was significantly higher than that in the control group(P<0.05).Conclusion:Laparoscopic surgery is safe and effective for gastrointestinal cancer,but it can cause postoperative hypercoagulability.We should choose surgical plan according to patient's condition.

关 键 词：胃肠肿瘤 腹腔镜手术 传统开腹手术 血凝状态 

分 类 号：R735[医药卫生—肿瘤]