双镜联合微创技术在胃间质瘤治疗中的效果  

Effect of Double-mirror Combined Minimally Invasive Technique in Treatment of Gastric Stromal Tumor

作　　者：孙锴 SUN Kai(The Second Department of General Surgery,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)

机构地区：[1]佳木斯市中心医院普外二科,黑龙江佳木斯154002

出　　处：《医学信息》2022年第22期96-98,102,共4页Journal of Medical Information

摘　　要：目的评价双镜联合微创技术在胃间质瘤(GSTs)治疗中的临床效果。方法选取2020年1月-2021年10月佳木斯市中心医院收治的40例GSTs患者作为研究对象,采用随机数字表法分为对照组与观察组,每组20例。对照组行腹腔镜治疗,观察组行双镜联合微创治疗,比较两组围术期指标(手术时间、术中出血量、切除成功率、中转开腹率)、术后恢复情况(术后排气时间、术后下床时间、术后住院时间)、凝血功能[凝血酶原时间(PT)、活化部分凝血酶原时间(aPTT)、纤维蛋白原(Fbg)]、手术并发症。结果观察组手术时间短于对照组,术中出血量少于对照组,且中转开腹率小于对照组(P<0.05),而两组切除成功率比较,差异无统计学意义(P>0.05)。观察组术后排气时间、术后下床时间、术后住院时间短于对照组(P<0.05)。两组术后PT、aPTT水平低于术前,Fbg高于术前,但观察组PT、aPTT高于对照组,Fbg低于对照组(P<0.05)。观察组手术并发症发生率为5.00%,低于对照组的25.00%(P<0.05)。结论双镜联合微创技术在GSTs治疗中具有手术时间短、术中出血少、术后恢复快,且血栓形成风险低、手术并发症少等优势,值得临床应用。Objective To evaluate the clinical effect of double-mirror combined with minimally invasive technique in the treatment of gastric stromal tumors(GSTs).Methods A total of 40 patients with GSTs admitted to Jiamusi Central Hospital from January 2020 to October 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 20 cases in each group.The control group was treated with laparoscopy,and the observation group was treated with double endoscopy combined with minimally invasive treatment.The perioperative indexes(operation time,intraoperative blood loss,resection success rate,conversion to laparotomy rate),postoperative recovery(postoperative exhaust time,postoperative ambulation time,postoperative hospital stay),coagulation function[prothrombin time(PT),activated partial prothrombin time(aPTT),fibrinogen(Fbg)]and surgical complications were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,and the conversion rate was less than that of the control group(P<0.05),while there was no significant difference in the success rate of resection between the two groups(P>0.05).The postoperative exhaust time,postoperative ambulation time and postoperative hospital stay in the observation group were shorter than those in the control group(P<0.05).The levels of PT and aPTT in the two groups after operation were lower than those before operation,and Fbg was higher than that before operation,but the PT and aPTT in the observation group were higher than those in the control group,and Fbg was lower than that in the control group(P<0.05).The incidence of surgical complications in the observation group was 5.00%,which was lower than 25.00%in the control group(P<0.05).Conclusion Double-mirror combined with minimally invasive technique in the treatment of GSTs has the advantages of short operation time,less intraopera

关 键 词：胃间质瘤 腹腔镜楔形切除术 内镜 瘤体破裂 凝血功能 

分 类 号：R657.4[医药卫生—外科学]