双镜联合在贲门、胃底>2cm肿瘤术中的应用  

Evaluate the application of combinedgastroscope and peritoneoscope in submucosal tumor resection

作　　者：杨位轩 徐春彦 万元春 徐东楚 周春山[3] 姚娟[4] YANG Wei-xuan;XU Chun-yan;WAN Yuan-chun;XU Dong-cu;ZHOU Chun-shan;YAO Juan(Department of Gastroenterology,Huaiyin Hospital in Huai'an City,223300 Huai'an,Jiangsu China;Department of General Surgery,Huaiyin Hospital in Huai'an City,223300 Huai'an,Jiangsu China;Imaging Department,Huaiyin Hospital in Huai'an City,223300 Huai'an,Jiangsu China;Department of Pathology,Huaiyin Hospital in Huai'an City,223300 Huai,an,Jiangsu China)

机构地区：[1]淮安市淮阴医院消化内科,江苏淮安223300 [2]淮安市淮阴医院普外科,江苏淮安223300 [3]淮安市淮阴医院影像科,江苏淮安223300 [4]淮安市淮阴医院病理科,江苏淮安223300

出　　处：《临床消化病杂志》2019年第6期359-363,共5页Chinese Journal of Clinical Gastroenterology

摘　　要：[目的]探讨胃镜腹腔镜双镜联合在贲门、胃底>2 cm黏膜下肿瘤(submucosal tumor,SMT)术中的应用价值。[方法]对58例贲门、胃底>2 cm SMT手术患者进行回顾性分析。双镜联合组:19例,采用双镜联合下贲门、胃底>2 cm SMT切除术;胃镜组:18例,采用胃镜下贲门、胃底>2 cm SMT切除术;腹腔镜组:21例,采用腹腔镜下贲门、胃底>2 cm SMT切除术。根据手术时间,术中出血量,住院费用,住院时间,术后胃潴留、反流等情况比较3组治疗效果。[结果]双镜联合组、胃镜组、腹腔镜组的住院费用、住院时间比较均差异无统计学意义(P>0.05)。双镜联合组在手术时间、术中出血量明显少于胃镜组(P<0.05),但与腹腔镜组比较差异无统计学意义(P>0.05)。双镜联合组在术后胃潴留、反流症状优于腹腔镜组(P<0.05),但与胃镜组比较差异无统计学意义(P>0.05)。[结论]双镜联合对贲门、胃底>2 cm SMT手术是安全、有效的。[Objective]To evaluate the application of combinedgastroscope and peritoneoscope in submucosal tumor resection.[Methods]A retrospective analysis was performed on 62 patients which were divided into three groups:21 cases from observation group applied combined endoscope;22 cases from control group A and 19 cases from control group B applied only gastroscope or peritoneoscope,respectively.Efficacy of different strategy was evaluated by several standards including operation duration and bleeding amount during surgery,cost and staying of hospitalization,postoperative gastric retention and reflux.[Results]There was no significant difference in cost and stay of hospitalization between different groups.Observation group was superior to control group A but had no difference to group B in duration and bleeding amount of surgery.On the other hand,observation group was superior to control group B but had no difference to group A in postoperative gastric retention and reflux.[Conclusion]Combined endoscope in submucosal tumor resection is a secure and an effective minimally invasive surgery,especially in elementary hospital.

关 键 词：黏膜下肿瘤 胃镜 腹腔镜 双镜联合 

分 类 号：R273[医药卫生—中西医结合]