双镜联合与完全腹腔镜在胃间质瘤中的临床疗效对比  

Comparison of clinical efficacy between double mirror and complete laparoscopy in gastric stromal tumor

作　　者：赵浩钧 徐偲 徐有超 单宝强 孙作成[2] ZHAO Haojun;XU Cai;XU Youchao;SHAN Baoqiang;SUN Zuocheng(Department of Surgery,Weifang Medical University,Weifang 261053,China;General Surgery Department of Weifang People's Hospital)

机构地区：[1]潍坊医学院外科学教研室,山东潍坊261053 [2]潍坊市人民医院普外科

出　　处：《潍坊医学院学报》2020年第4期315-316,共2页Acta Academiae Medicinae Weifang

摘　　要：目的探讨双镜联合与安全腹腔镜在胃间质瘤中的临床疗效对比。方法选取我院2018年6月~2020年5月收治的46例实施双镜联合治疗胃间质瘤患者作为双镜联合组;选取同期46例实施完全腹腔镜治疗胃间质瘤患者作为完全腹腔镜组。比较两组的手术时间、术中出血量、术后拔出胃管时间、下床活动时间、恢复进食时间、住院时间和术后并发症发生率。结果双镜联合组的术中出血量、术后拔出胃管时间、下床活动时间、恢复进食时间、住院时间显著低于完全腹腔镜组,差异有显著性(P<0.05)。双镜联合组的术后并发症发生率为6.52%,显著低于完全腹腔镜组的36.96%,差异有显著性(P<0.05)。结论双镜联合治疗胃间质瘤临床效果确切,临床疗效明显优于完全腹腔镜手术,双镜联合治疗胃间质瘤具有创伤小、恢复快,能够缩短住院时间,加快术后康复等优势,值得临床推广应用。Objective To compare the clinical efficacy between double mirrors and complete laparoscopy in gastric stromal tumor.Methods Forty-six patients who underwent double-lens combination therapy for gastric stromal tumors in our hospital from June 2018 to May 2020 were selected as the combination group.Forty-six patients with complete laparoscopy were selected as the complete laparoscopy group.The operation time,intraoperative blood loss,postoperative time to pull out the gastric tube,time to get out of bed,time to recover feeding,time to stay in hospital and postoperative complication rate were compared between the two groups.Results The intraoperative blood loss,postoperative time of gastric tube extraction,time of getting out of bed,time of resuming feeding and time of hospitalization in the double-lens combined group were significantly lower than those in the complete laparoscopic group,with statistically significant differences(P<0.05).The incidence of postoperative complications was 6.52% in the dual-lens combined group,which was significantly lower than the 36.96% in the complete laparoscopic group(P<0.05).Conclusion The clinical efficacy of double mirror combined treatment of gastric stromal tumor is accurate,which is obviously better than the complete laparoscopic therapy.Which has the advantages of less trauma,faster recovery,shorter hospitalization time and faster postoperative recovery,which is worthy of clinical application.

关 键 词：双镜联合 胃间质瘤 术后并发症 

分 类 号：R730.263[医药卫生—肿瘤]