摘要
目的 探究3D腹腔镜辅助保留迷走神经远端根治术对胃癌治疗的疗效和近期生活质量的影响。方法回顾性分析2014年10月至2016年10月胃癌患者120例资料,根据手术方式不同分为三组,分别为3D保留组,3D常规组以及2D保留组各40例。采用SPSS21.0软件进行统计学分析,围术期相关指标、生活质量评分、胃排空功能和胆囊收缩功能指标采用(x±s)描述,两组间比较t检验,三组间经方差齐性检验分析;计数资料组间比较采用χ^2检验。P<0.05差异有统计学意义。结果三组患者在手术时间、平均淋巴结清扫数、术中出血量、术后住院时间以及肛门首次排气时间等方面经比较,差异无统计学意义(P>0.05);3D保留组与2D保留组在胃排空功能和胆囊收缩功能方面相比不具有统计学差异(P>0.05),但显著优于3D常规组(P<0.05);3D保留组患者术后3个月,6个月生活质量评分明显高于其他两组患者(P<0.05),而在12个月质量评分方面3D保留组与2D保留组差异无统计学意义(P>0.05),但仍显著高于3D常规组(P<0.05)。结论3D腹腔镜辅助保留迷走神经远端根治术对胃癌治疗的疗效和近期生活质量的改善,具有较高的价值,值得进一步推广应用。
Objective To investigate the efficacy and recent quality of life of 3D laparoscopic assisted vagal nerve-preserving distal radical surgery on patients with gastric cancer. Methods A retrospective analysis of 120 patients with distal gastric cancer treated in our hospital from October 2014 to October 2016 was divided into three groups based on different surgical methods: 3D retention group, 3D routine group, and 2D retention group, each 40 cases. SPSS 21.0 software was used to statistically analyze the effect of the three groups of surgical procedures on the patient’s curative effect and recent quality of life. The perioperative indicators, gastric emptying function, gallbladder systolic function, and quality of life scores were described in the form of (x±s), and compared with t -tests between the two groups, and F -tests were performed among the three groups. Relevant count data in clinical basic data were analyzed using χ^ 2 test. P <0.05 meant a statistical difference. Results The three groups of patients had no statistical difference in the operation time, intraoperative blood loss, average number of lymph node dissections, first anus exhaust time, and postoperative hospital stay( P >0.05);there was no statistical difference in the gastric emptying function and gallbladder contraction function between the 3D retention group and the 2D retention group (P>0.05), but those was significantly better than 3D conventional group ( P <0.05);3D retention group patients’ quality of life scores at 3 months and 6 months after operation were significantly higher than those in the other two groups ( P <0.05). There was no significant difference between the 3D retention group and the 2D retention group in the 12-month quality score ( P >0.05), but it was still significantly higher than that of the 3D routine group ( P <0.05). Conclusion 3D laparoscopically assisted vagal nerve-preserving distal radical surgery for the treatment of gastric cancer has improvement of recent quality of life, and it is worth further promoti
作者
冯彩华
连娟
付朝霞
Feng Caihua;Lian Juan;Fu Zhaoxia(The People’s Hospital Of Longhua. Shenzhen 518109)
出处
《中华普外科手术学杂志（电子版）》
2019年第3期290-293,共4页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
胃肿瘤
腹腔镜检查
治疗结果
生活质量
Stomach neoplasms
Laparoscopy
Treatment outcome
Quality of life
