摘要
目的比较腹腔镜和开腹术两者治疗早期胃癌的效果。方法方便选择2013年1月—2015年1月该院收治的60例早期胃癌患者为研究对象,依照就诊顺序,将患者平均分为两组,每组30例,对照组行开腹术,观察组行腹腔镜术,手术结束后,对比患者治疗安全性,近期疗效,中期疗效和不良反应发生情况。结果观察组患者的手术时长(286.9±54.1)min显著比对照组高,但术中出血量(261.6±59.7)m L,肠道排气时间(3.6±1.1)d和进食时长(3.7±1.1)d较低,组间差异有统计学意义,P<0.05。观察组不良反应发生率(6.67%)与对照组比较(9.99%)组间数据差异无统计学意义,P>0.05。患者均顺利完成随访,观察组1年生存率(76.67%)与对照组(70.00%)比较差异无统计学意义,观察组肿瘤复发率(36.67%)与对照组(43.33%),差异无统计学意义,P>0.05。患者其余手术安全性指标差异无统计学意义,P>0.05。结论对于早期胃癌患者,使用腹腔镜法实施外科手术,可以取得相对满意的临床效果,近期与中期疗效确切,不良反应少,值得进一步推广使用。
Objective To compare laparoscopic and open surgery for the treatment of early gastric cancer.Methods Convenient selection January 2013 to January 2015, 1 months in our hospital from 60 cases of early gastric cancer were selected as the research object, according to the order of treatment. The patients were divided into two groups, 30 cases in each group, the control group underwent laparotomy observed group underwent laparoscopic surgery, after surgery, comparative safety in treatment, the curative effect in the near future, the medium-term efficacy and adverse reaction of occurrence.Results The observation group of patients with surgery time（286.9±54.1） min significantly higher than control group, but the intraoperative blood loss（261.6±59.7）m L, intestinal exhaust time（3.6±1.1）d and the eating time（3.7±1.1）d is lower, the difference between group P〈0.05. Observation group, incidence of adverse reactions（6.67%） compared with control group（9.99%） of the data no statistical difference between groups（P〈0.05）. Patients with the rest of the operation safety indicators there is no statistical difference, P〈0.05.Patients were successfully completed follow-up, observation group 1 year survival rate（76.67%） compared with control group（70.00%） had no significant difference, tumor recurrence rate（36.67%） of the observation group and control group（43.33%） had no significant difference, P〈0.05.Conclusion For patients with early gastric cancer, using the method of laparoscopic surgery, relatively satisfactory clinical effect can be obtained, with recent mid-term curative effect, less adverse reactions, worthy of further promotion of use.
出处
《中外医疗》
2016年第31期75-77,共3页
China & Foreign Medical Treatment
关键词
腹腔镜
开腹术
早期胃癌
疗效对比
Laparoscopic
Laparotomy surgery
Early gastric cancer
Effect of contrast
