摘要
目的研究内镜联合腹腔镜在胃肠微创手术治疗中的应用效果。方法方便择取该院2018年1月-2019年3月收治的胃肠道病变患者84例为研究对象,抽签法分研究组(内镜联合腹腔镜微创手术)与对照组(传统开腹手术),各42例,比较手术指标、营养状况与并发症。结果两组术前白蛋白、前白蛋白与总白蛋白数据差异无统计学意义(P>0.05);术后研究组白蛋白(36.84±4.43)g/L、前白蛋白(119.54±22.47)g/L与总白蛋白(60.19±4.48)g/L水平均高于对照组(30.12±4.17)g/L、(106.83±20.71)g/L与(56.13±4.26)g/L,差异有统计学意义(t=7.158、2.696、4.256,P<0.05);与对照组比较,研究组手术时间、胃肠功能恢复时间、术后排气时间与住院时间短,术中出血量少,R0切除率高,研究组并发症率4.76%低于对照组19.04%,差异有统计学意义(χ~2=4.087,P=0.043<0.05)。结论对胃肠道病变患者内镜联合腹腔镜微创手术治疗改善营养状况,缩短手术、术后排气与住院时间,促进胃肠功能早期恢复,提高肿瘤R0切除率,安全性高,值得借鉴。
Objective To study the effect of endoscopy combined with laparoscopy in the treatment of gastrointestinal minimally invasive surgery. Methods Eighty-four patients with gastrointestinal lesions admitted to the hospital from January2018 to March 2019 were convenient enrolled in the study. The study group(endoscopic combined with laparoscopic minimally invasive surgery) and the control group(traditional open surgery) 42 cases each, comparing surgical indicators, nutritional status and complications. Results There were no statistically significant differences in preoperative albumin, prealbumin and total albumin between the two groups(P>0.05). Postoperative study group albumin(36.84±4.43)g/L and prealbumin(119.54±22.47) g/Land total albumin(60.19±4.48)g/L levels were higher than the control group(30.12±4.17)g/L,(106.83±20.71)g/L and(56.13±4.26)g/L. The difference was statistically significant(t=7.158,2.696, 4.256,P<0.05);compared with the control group, the operation time, gastrointestinal function recovery time, postoperative venting time and hospitalization time were short, intraoperative blood loss was small, and R0 resection rate was high. The complication rate of the study group(4.76%) was lower than that of the control group 19.04%,and the difference was statistically significant(χ~2=4.087, P=0.043<0.05). Conclusion Endoscopic combined with laparoscopic minimally invasive surgery for gastrointestinal lesions improves nutritional status, shortens surgery, postoperative venting and hospitalization time, promotes early recovery of gastrointestinal function, improves tumor R0 resection rate, and is highly safe. Learn from.
作者
潘梓荣
纪程宏
林火贵
程强
廖伟家
蔡哲臻
PAN Zi-rong;JI Cheng-hong;LIN Huo-gui;CHENG Qiang;LIAO Wei-jia;CAI Zhe-zhen(Department of General Surgery,Xiamen Haicang Hospital,Xiamen,Fujian Province,361000 China)
出处
《中外医疗》
2020年第3期19-21,共3页
China & Foreign Medical Treatment
基金
厦门市科技惠民项目:内镜联合腹腔镜在胃肠微创手术治疗中的应用研究(3502Z20174023)
福建省卫生健康委卫生人才培养项目:转录因子Oct4在诱导性多能胃癌干细胞定向分化中的作用(2019-CXB-34)。
关键词
内镜
腹腔镜
胃肠道病变
微创手术
应用效果
Endoscopy
Laparoscopy
Gastrointestinal lesions
Minimally invasive surgery
Application effect
