摘要
目的 :探讨使用胃镜联合腹腔镜胃楔形切除术治疗胃间质瘤的安全性和有效性。方法 :选取2014年6月至2015年7月期间资中县人民医院收治的58例胃间质瘤患者作为研究对象。随机将这些患者分为双镜组(n=29)和开腹组(n=29)。为开腹组患者使用开腹胃楔形切除术进行治疗。对观察组患者使用胃镜联合腹腔镜胃楔形切除术进行治疗。然后观察两组患者的手术指标、并发症的发生情况、术后1年内病情复发及病灶转移的情况。结果 :双镜组患者手术持续的时间、术毕至排气的时间及术后住院的时间均短于开腹组患者(P<0.05),其术中的出血量少于开腹组患者(P<0.05),其并发症的发生率低于开腹组患者(P<0.05)。术后1年内,两组患者的病情均未复发,其病灶未转移。结论 :使用胃镜联合腹腔镜胃楔形切除术治疗胃间质瘤对患者造成的创伤较小,其术后身体恢复的速度较快,且安全性较高。
Objective To study the safety and validity of gastroscopy combined with laparoscopic wedge resection of the stomach for treatment of gastric stromal tumor. Methods 58 cases of gastric stromal tumors treated in The People＇ s Hospital of Zizhong county during June 2014 to July 2015 were selected for research object. Randomly divided the cases double mirror group （ n=29 ） and open group （ n=29 ） .Treat double mirror group with gastroscopy combined with laparoscopic wedge resection, treat open group with open wedge resection. Then observe operation indexes, incidence of complication, recurrence rate and metastasis rate in 1 year after operation of 2 groups. Results The operating time, postoperative exhaust time and length of stay after surgery of double mirror group are shorter than that in open group （ P 〈 0.05 ） ,bleeding volume during operation process of double mirror group is less than that in open group （ P 〈 0.05 ） , incidence of complication of double mirror group is lower than that in open group （ P 〈 0.05 ） Inl year after operation, no patient occurred recurrence and metastasis.ConclusionApply gastroscopy combined with laparoscopic wedge resection of the stomach for treatment of gastric stromal tumor made smaller wound to the patients, the recovery process is fast, and it have high safty.
作者
顾庆丰
GU qingfeng(The People＇ s Hospital of Zizhong county Sichuan Zizhong 64120)
关键词
胃镜
腹腔镜
胃间质瘤
Gastroscope
Laparoscopy
gastric stromal tumor
