术前自体血定位法在腹腔镜下胃不利部位胃间质瘤切除手术中的应用效果  

The application effect of preoperative autologous blood localization method in laparoscopic resection of gastric stromal tumors in unfavorable areas of the stomach

作　　者：林奇忆 陈丽玲 李龙钦[2] 王怀帅[1] 庄奕翔 李银林 蔡志聪 潘健鹏 陈剑鹏 郭滔 林高枫 许国玺[1] Lin Qiyi;Chen Liling;Li Longqin;Wang Huaishuai;Zhuang Yixiang;Li Yinlin;Cai Zhicong;Pan Jianpeng;Chen Jianpeng;Guo Tao;Lin Gaofeng;Xu Guoxi(Department of Gastrointestinal and Hernia Surgery,Jinjiang Municipal Hospital,Jinjiang 362200,China;Department of Gastroenterology,Jinjiang Municipal Hospital,Jinjiang 362200,China)

机构地区：[1]晋江市医院(上海市第六人民医院福建医院)胃肠、疝与腹壁外科,晋江362200 [2]晋江市医院(上海市第六人民医院福建医院)消化内科,晋江362200

出　　处：《中国医师杂志》2024年第8期1137-1139,1145,共4页Journal of Chinese Physician

摘　　要：目的探讨术前自体血定位法在腹腔镜下胃不利部位胃间质瘤切除手术中的应用效果。方法回顾性分析晋江市医院(上海市第六人民医院福建医院)2019年1月至2022年12月收治的40例胃不利部位胃间质瘤患者的病例资料,按照术中病灶定位方法的不同分成对照组(术中内镜定位法)和自体血定位组,每组各20例。比较两组的手术时间、术中出血量、住院时间、术后排气时间以及不良反应。结果自体血定位组的手术时间短于对照组[(92.30±8.80)min vs(108.20±14.87)min,P<0.05],两组的术中出血量、住院时间及术后排气时间比较差异无统计学意义(均P>0.05)。两组患者术后次日未发现白细胞、C反应蛋白等炎症指标升高现象。两组患者均未出现发热、腹痛等不良反应和术后并发症。结论自体血注射定位法为腹腔镜下胃不利部位胃间质瘤切除手术术前定位提供了一种安全、简便、有效的方法,值得临床推广使用。ObjectiveTo explore the application effect of preoperative autologous blood localization method in laparoscopic resection of gastric stromal tumors in unfavorable areas of the stomach.MethodsA retrospective analysis was conducted on the case data of 40 patients with gastric stromal tumors in unfavorable locations admitted to Jinjiang Hospital from January 2019 to December 2022.The patients were divided into a control group(intraoperative endoscopic localization method)and an autologous blood localization group according to different intraoperative lesion localization methods,with 20 cases in each group.The surgical time,intraoperative blood loss,hospitalization time,postoperative exhaust time,and adverse reactions were compared between the two groups.ResultsThe surgery time of the autologous blood localization group was shorter than that of the control group[(92.30±8.80)min vs(108.20±14.87)min,P<0.05].There was no statistically significant difference in intraoperative bleeding,hospitalization time,and postoperative exhaust time between the two groups(all P>0.05).Two groups of patients did not show an increase in inflammatory indicators such as white blood cells and C-reactive protein on the day after surgery.Both groups of patients did not experience adverse reactions such as fever,abdominal pain,or postoperative complications.ConclusionsThe autologous blood injection localization method provides a safe,simple,and effective method for preoperative localization of gastric stromal tumors in unfavorable areas of the stomach under laparoscopy,and is worthy of clinical promotion and use.

关 键 词：胃肠道间质瘤 自体血 定位 腹腔镜检查 

分 类 号：R735.2[医药卫生—肿瘤]