比较分析腹腔镜联合胃镜与开腹手术治疗胃间质瘤临床效果(1)
【摘 要】目的：分析腹腔镜联合胃镜与开腹手术治疗胃间质瘤临床效果。方法：将2015年10月到2017年10月于本院接受手术治疗的52例胃间质瘤患者作为分析对象，将患者随机纳入开腹组与腔镜组(n=26)。开腹组患者实施开腹手术治疗，腔镜组患者实施腹腔镜联合胃镜治疗，比较两组患者的临床治疗效果、恢复进食时间及患者住院时间等。结果：开腹组患者的临床治疗总有效率为80.77%，腔镜组患者的临床治疗总有效率为96.15%，组间差异比较具有统计学意义(p<0.05)。同时，腔镜组患者恢复进食时间、住院时间均相对较短，术后并发症发生率相对较低，与开腹组患者数据比较差异显著(p<0.05)。结论：相较于开腹手术治疗的方式，腹腔镜联合胃镜治疗胃间质瘤的效果更加理想，有助于提升患者的临床治疗效果，缩短患者的术后恢复时间，建议推广应用。
【关键词】腹腔镜联合胃镜；开腹手术；胃间质瘤；临床治疗
[Abstract] Objective：To analyze the clinical effect of laparoscopic combined gastroscope and laparotomy in the treatment of gastric stromal tumors. Methods：a total of 52 patients with gastric interstitial tumor were treated in the hospital from October 2015 to October 2017. The patients were randomly assigned to the open and endoscopic group (n = 26). Laparoscopy combined with laparoscopic gastroscopy was performed in patients with open abdominal surgery in patients with laparoscopy， and compared the clinical efficacy of the two groups， the time of recovery and the time of hospitalization. Results：the total effective rate of clinical treatment was 80.77% in patients with open abdominal group， 96.15% in total clinical treatment of endoscopic group， and statistically significant difference between groups (p < 0.05). At the same time， the patients in the endoscopy group were relatively short in the time of recovery and hospitalization， and the incidence of postoperative complications was relatively low， which was significantly different from those in the open abdominal group (p < 0.05). Conclusion：compared with open surgery， laparoscopic combined endoscopy for the treatment of gastric stromal tumor is more ideal， help to improve the patient's clinical curative effect， shorten the patient's postoperative recovery time， suggest the popularization and application.
[Key words] laparoscopic combined gastroscope；Open surgery；Gastric stromal tumor；Clinical treatment
【中圖分类号】R827.15 【文献标识码】A 【文章编号】2095-6851(2018)01-0-01
胃间质瘤为消化系统常见的恶性肿瘤，对患者的生活会带来较大影响，手术切除为常见的治疗方式。随着现代微创技术的快速发展，腹腔镜技术、胃镜技术等开始在临床治疗中推广应用。文章将2015年10月到2017年10月于本院接受手术治疗的52例胃间质瘤患者作为分析对象，将患者随机纳入开腹组与腔镜组，比较不同治疗方式下患者的恢复情况，现总结内容如下。
1 资料与方法
1.1 一般资料
将2015年10月到2017年10月于本院接受手术治疗的52例胃间质瘤患者作为分析对象，将患者随机纳入开腹组与腔镜组(n=26)。开腹组患者中男女比例为15：11，患者年龄在43～74岁之间，年龄均数为(54.65±4.11)岁。腔镜组患者中男女比例为14：12，患者年龄在43～74岁之间，年龄均数为(54.46±4.23)岁。组间年龄与性别资料比较无显著区别，具有分组讨论价值(p>0.05)。
1.2 方法
开腹组患者实施开腹手术治疗，全麻，近端胃大部分切除术，肿瘤清除，肿瘤标本送冰冻或者石蜡病理[1]。腔镜组患者实施腹腔镜联合胃镜治疗，全麻，平卧位四孔法置入腹腔，脐下缘10mm位置套管穿刺进入作为观察口[2]。左右平脐腹直肌下缘位置、左腋前线肋缘下方2cm位置置入5mm、5mm及12mm的Trocar，维持腹压后置入相关器具[3]。联合胃镜观察病灶位置且予以切除。术中应用超声刀对肿瘤周边胃大小黏膜进行分离，肿瘤位置所在胃壁与病灶边缘2～3cm位置将肿瘤全面切除[4]。胃镜配合下切除肿瘤。术毕缝合且应用抗生素无菌处理。, 百拇医药(刘奎)
【关键词】腹腔镜联合胃镜；开腹手术；胃间质瘤；临床治疗
[Abstract] Objective：To analyze the clinical effect of laparoscopic combined gastroscope and laparotomy in the treatment of gastric stromal tumors. Methods：a total of 52 patients with gastric interstitial tumor were treated in the hospital from October 2015 to October 2017. The patients were randomly assigned to the open and endoscopic group (n = 26). Laparoscopy combined with laparoscopic gastroscopy was performed in patients with open abdominal surgery in patients with laparoscopy， and compared the clinical efficacy of the two groups， the time of recovery and the time of hospitalization. Results：the total effective rate of clinical treatment was 80.77% in patients with open abdominal group， 96.15% in total clinical treatment of endoscopic group， and statistically significant difference between groups (p < 0.05). At the same time， the patients in the endoscopy group were relatively short in the time of recovery and hospitalization， and the incidence of postoperative complications was relatively low， which was significantly different from those in the open abdominal group (p < 0.05). Conclusion：compared with open surgery， laparoscopic combined endoscopy for the treatment of gastric stromal tumor is more ideal， help to improve the patient's clinical curative effect， shorten the patient's postoperative recovery time， suggest the popularization and application.
[Key words] laparoscopic combined gastroscope；Open surgery；Gastric stromal tumor；Clinical treatment
【中圖分类号】R827.15 【文献标识码】A 【文章编号】2095-6851(2018)01-0-01
胃间质瘤为消化系统常见的恶性肿瘤，对患者的生活会带来较大影响，手术切除为常见的治疗方式。随着现代微创技术的快速发展，腹腔镜技术、胃镜技术等开始在临床治疗中推广应用。文章将2015年10月到2017年10月于本院接受手术治疗的52例胃间质瘤患者作为分析对象，将患者随机纳入开腹组与腔镜组，比较不同治疗方式下患者的恢复情况，现总结内容如下。
1 资料与方法
1.1 一般资料
将2015年10月到2017年10月于本院接受手术治疗的52例胃间质瘤患者作为分析对象，将患者随机纳入开腹组与腔镜组(n=26)。开腹组患者中男女比例为15：11，患者年龄在43～74岁之间，年龄均数为(54.65±4.11)岁。腔镜组患者中男女比例为14：12，患者年龄在43～74岁之间，年龄均数为(54.46±4.23)岁。组间年龄与性别资料比较无显著区别，具有分组讨论价值(p>0.05)。
1.2 方法
开腹组患者实施开腹手术治疗，全麻，近端胃大部分切除术，肿瘤清除，肿瘤标本送冰冻或者石蜡病理[1]。腔镜组患者实施腹腔镜联合胃镜治疗，全麻，平卧位四孔法置入腹腔，脐下缘10mm位置套管穿刺进入作为观察口[2]。左右平脐腹直肌下缘位置、左腋前线肋缘下方2cm位置置入5mm、5mm及12mm的Trocar，维持腹压后置入相关器具[3]。联合胃镜观察病灶位置且予以切除。术中应用超声刀对肿瘤周边胃大小黏膜进行分离，肿瘤位置所在胃壁与病灶边缘2～3cm位置将肿瘤全面切除[4]。胃镜配合下切除肿瘤。术毕缝合且应用抗生素无菌处理。, 百拇医药(刘奎)