摘要
目的探讨腹腔镜手术与开腹手术治疗胃间质瘤的近期疗效,并对其进行对比分析。方法 52例胃间质瘤患者,36例行腹腔镜手术方式(腹腔镜组),16例行开腹手术方式(开腹组)。观察两组患者手术及术后近期相关指标,包括切口长度、手术时间、术中出血量、术后肛门排气时间、开始进食时间、术后住院时间及术后并发症情况。结果腹腔镜组相比于开腹组,在切口长度、术后肛门排气时间、开始进食时间、术后住院时间等方面,差异有统计学意义(P<0.01);术中出血量少于开腹组(P<0.05);手术时间比较差异无统计学意义(P>0.05)。结论腹腔镜手术方式治疗胃间质瘤是安全、可行的,在某些方面较开腹手术方式有优势,有良好的应用前景。
Objective To explore short-term effect of laparoscopic operation and laparotomy in the treatment of gastric stromal tumor, and to make comparison and analysis. Methods In 52 patients with gastric stromal tumor, there were 36 cases of them undergoing laparoscopic operation （laparoscope group） and 16 cases undergoing laparotomy （laparotomy group）. The operation and postoperative short-term indexes of the two groups were observed, such as incision length, operative time, intaoperative blood loss, postoperative anal exhaust time, feeding time, postoperative hospital stays, and postoperative complications. Results The laparoscope group had statistically significant difference from the laparotomy group of incision length, postoperative anal exhaust time, feeding time, and postoperative hospital stays （P〈0.01）, and its intraoperative blood loss was less than the laparotomy group （P〈0.05）. The difference of operation time had no statistical significance between the two groups （P〉0.05）. Conclusion Laparoscopic operation in treatment of gastric stromal tumor is safe and feasible, and it is better than laparotomy in certain respects. This method has good prospect of application.
出处
《中国现代药物应用》
2015年第2期16-17,共2页
Chinese Journal of Modern Drug Application
关键词
胃间质瘤
腹腔镜手术
开腹手术
Gastric stromal tumor
Laparoscopic operation
Laparotomy
