腹腔镜与传统开腹手术治疗早期胃癌的疗效对比分析(1)
[摘要] 目的 比较腹腔镜和开腹术两者治疗早期胃癌的效果。方法 方便选择2013年1月—2015年1月该院收治的60例早期胃癌患者为研究对象，依照就诊顺序，将患者平均分为两组，每组30例，对照组行开腹术，观察组行腹腔镜术，手术结束后，对比患者治疗安全性，近期疗效，中期疗效和不良反应发生情况。结果 观察组患者的手术时长(286.9±54.1)min显著比对照组高，但术中出血量(261.6±59.7)mL，肠道排气时间(3.6±1.1)d和进食时长(3.7±1.1)d较低，组间差异有统计学意义，P<0.05。观察组不良反应发生率(6.67%)与对照组比较(9.99%)组间数据差异无统计学意义，P>0.05。患者均顺利完成随访，观察组1年生存率(76.67%)与对照组(70.00%)比较差异无统计学意义，观察组肿瘤复发率(36.67%)与对照组(43.33%)，差异无统计学意义，P>0.05。患者其余手术安全性指标差异无统计学意义，P>0.05。结论 对于早期胃癌患者，使用腹腔镜法实施外科手术，可以取得相对满意的临床效果，近期与中期疗效确切，不良反应少，值得进一步推广使用。
[关键词] 腹腔镜；开腹术；早期胃癌；疗效对比
[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742(2016)11(a)-0075-03
[Abstract] Objective To compare laparoscopic and open surgery for the treatment of early gastric cancer.Methods Convenient selection January 2013 to January 2015， 1 months in our hospital from 60 cases of early gastric cancer were selected as the research object， according to the order of treatment. The patients were divided into two groups， 30 cases in each group， the control group underwent laparotomy observed group underwent laparoscopic surgery， after surgery， comparative safety in treatment， the curative effect in the near future， the medium-term efficacy and adverse reaction of occurrence. Results The observation group of patients with surgery time(286.9±54.1) min significantly higher than control group， but the intraoperative blood loss (261.6±59.7)mL， intestinal exhaust time (3.6±1.1)d and the eating time (3.7±1.1)d is lower， the difference between group P < 0.05. Observation group， incidence of adverse reactions (6.67%) compared with control group (9.99%) of the data no statistical difference between groups(P > 0.05). Patients with the rest of the operation safety indicators there is no statistical difference， P < 0.05.Patients were successfully completed follow-up， observation group 1 year survival rate (76.67%) compared with control group (70.00%) had no significant difference， tumor recurrence rate (36.67%) of the observation group and control group (43.33%) had no significant difference， P > 0.05.Conclusion For patients with early gastric cancer， using the method of laparoscopic surgery， relatively satisfactory clinical effect can be obtained， with recent mid-term curative effect， less adverse reactions， worthy of further promotion of use.
[Key words] Laparoscopic； Laparotomy surgery； Early gastric cancer； Effect of contrast
胃癌是一種常见的消化系统肿瘤疾病。随着我国民众生活方式的改变，胃癌疾病的发生率也呈现出了逐年增长的趋势[1]。该疾病的病死率已经超过其他肿瘤疾病。对于胃癌疾病患者，临床上主张使用外科方式对患者进行相关治疗，该研究方便选取2013年1月—2015年1月该院收治的60例早期胃癌患者为研究对象，现报道如下。 (黄龙 涂建成 郭科 方健 周亮 陶磊)
[关键词] 腹腔镜；开腹术；早期胃癌；疗效对比
[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742(2016)11(a)-0075-03
[Abstract] Objective To compare laparoscopic and open surgery for the treatment of early gastric cancer.Methods Convenient selection January 2013 to January 2015， 1 months in our hospital from 60 cases of early gastric cancer were selected as the research object， according to the order of treatment. The patients were divided into two groups， 30 cases in each group， the control group underwent laparotomy observed group underwent laparoscopic surgery， after surgery， comparative safety in treatment， the curative effect in the near future， the medium-term efficacy and adverse reaction of occurrence. Results The observation group of patients with surgery time(286.9±54.1) min significantly higher than control group， but the intraoperative blood loss (261.6±59.7)mL， intestinal exhaust time (3.6±1.1)d and the eating time (3.7±1.1)d is lower， the difference between group P < 0.05. Observation group， incidence of adverse reactions (6.67%) compared with control group (9.99%) of the data no statistical difference between groups(P > 0.05). Patients with the rest of the operation safety indicators there is no statistical difference， P < 0.05.Patients were successfully completed follow-up， observation group 1 year survival rate (76.67%) compared with control group (70.00%) had no significant difference， tumor recurrence rate (36.67%) of the observation group and control group (43.33%) had no significant difference， P > 0.05.Conclusion For patients with early gastric cancer， using the method of laparoscopic surgery， relatively satisfactory clinical effect can be obtained， with recent mid-term curative effect， less adverse reactions， worthy of further promotion of use.
[Key words] Laparoscopic； Laparotomy surgery； Early gastric cancer； Effect of contrast
胃癌是一種常见的消化系统肿瘤疾病。随着我国民众生活方式的改变，胃癌疾病的发生率也呈现出了逐年增长的趋势[1]。该疾病的病死率已经超过其他肿瘤疾病。对于胃癌疾病患者，临床上主张使用外科方式对患者进行相关治疗，该研究方便选取2013年1月—2015年1月该院收治的60例早期胃癌患者为研究对象，现报道如下。 (黄龙 涂建成 郭科 方健 周亮 陶磊)