3D腹腔镜配合近端胃切除防反流手术的效果研究  

Effect of 3D Laparoscopy Combined with Proximal Gastrectomy to Pre⁃vent Reflux Surgery

作　　者：李卫林 谈静 LI Weilin;TAN Jing(Department of Gastrointestinal Surgery,Macheng People's Hospital,Macheng,Hubei Province,438300 China;Department of Orthopedics,Macheng People's Hospital,Macheng,Hubei Province,438300 China)

机构地区：[1]湖北省麻城市人民医院胃肠外科,湖北麻城438300 [2]湖北省麻城市人民医院骨科,湖北麻城438300

出　　处：《系统医学》2023年第9期137-141,共5页Systems Medicine

摘　　要：目的 分析3D腹腔镜配合近端胃切除防反流手术的临床效果和价值。方法 选择2021年8月—2023年2月湖北省麻城市人民医院近端胃切除手术后发生胃食管反流的80例患者为研究对象,保持组间均衡性,将其分为对照组、观察组,每组40例,均配合防反流手术。对照组在传统腹腔镜下进行手术,观察组在3D腹腔镜下完成手术。比较两组临床指标、并发症发生情况、Visick分级、症状缓解情况及生活质量。结果 观察组各项临床指标均优于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(2.50%)低于对照组的20.00%,差异有统计学意义(χ^(2)=4.507,P<0.05)。观察组术后Visick分级优于对照组,差异有统计学意义(P<0.05)。术后两组各项GERD-Q评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。随访末期观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论 3D腹腔镜配合近端胃切除防反流手术效果突出,能够有效减轻患者胃食管反流症状,有助于患者手术效率和机体康复效率的提升,控制并发症发生风险,可改善预后生活质量。Objective To analyze the clinical effect and value of 3D laparoscopy combined with proximal gastrectomy for anti-reflux surgery.Methods From August 2021 to February 2023,80 patients with gastroesophageal reflux after proximal gastrectomy in Macheng People´s Hospital of Hubei Province were selected as the study subjects.To main‐tain the balance between groups,they were divided into control group and observation group,both of which were 40 cases.All of them cooperated with anti reflux surgery.The control group underwent surgery under traditional laparos‐copy,while the observation group underwent surgery under 3D laparoscopy.Compared two groups of clinical indica‐tors,incidence of complications,Visick grading,symptom relief,and quality of life.Results The observation group had better clinical indicators than the control group,and the difference was statistically significant(P<0.05).The inci‐dence of complications in the observation group(2.50%)was lower than that in the control group(20.00%),the differ‐ence was statistically significant(χ^(2)=4.507,P<0.05).The postoperative Visick grading of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).After surgery,the GERD-Q scores of both groups were lower than before surgery,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).At the end of follow-up,the quality of life score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion 3D laparoscopy combined with proximal gastrectomy for anti-reflux surgery has an outstanding effect,can effectively relieve gastroesophageal reflux symptoms,help patients improve surgical efficiency and recovery efficiency,control the risk of complications,and improve the quality of life after prognosis.

关 键 词：3D腹腔镜 近端胃切除术 防反流手术 治疗效果 

分 类 号：R735[医药卫生—肿瘤]