双镜联合微创技术运用于胃间质瘤治疗的临床效果观察

Clinical Effect of Double Endoscopy Combined with Minimally Invasive Technique in the Treatment of Gastric Stromal Tumor

目的分析双镜联合微创技术运用于胃间质瘤治疗的临床效果。方法回顾分析北京市仁和医院2015年3月至2020年5月收治的胃间质瘤患者50例,按治疗方式分组,其中25例接受腹腔镜联合胃镜治疗,即双镜治疗(观察组),另25例接受腹腔镜治疗(对照组),比较治疗效果,如围术期指标、免疫功能等。结果观察组住院时间、术后进食时间、术中出血量、手术时间低于对照组,数据差异有统计学意义(P<0.05);比较住院时间,数据差异无统计学意义(P>0.05);观察组并发症总发生率12.00%低于对照组16.00%,数据差异无统计学意义(P>0.05)。结论临床治疗胃间质瘤可考虑采用腹腔镜联合胃镜的治疗方式,相比于单一腹腔镜手术来说,双镜治疗方式的有效性和安全性更高,可降低术中出血量和手术时间等,对术后病情恢复有利。

Objective To analyze the clinical effect of double endoscopy combined with minimally invasive technique in the treatment of gastric stromal tumor.Methods Fifty patients with gastric stromal tumor treated in Beijing Renhe Hospital from March 2015 to May 2020 were retrospectively analyzed.They were divided into two groups according to the treatment methods,25 patients were treated by laparoscopy combined with gastroscopy,namely double mirror treatment(observation group),the other 25 patients were treated by laparoscopy(control group).The therapeutic effects were compared,such as perioperative indicators,immune function,etc.Results The hospitalization time,postoperative eating time,intraoperative blood loss and operation time of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The difference was not statistically significant(P>0.05).The total incidence of complications of the observation group was 12.00%lower than that of the control group 16.00%,and the difference was not statistically significant(P>0.05).Conclusion The clinical treatment of gastric stromal tumor can consider the use of laparoscopy combined with gastroscopy.Compared with single laparoscopic surgery,double mirror treatment is more effective and safe,which can reduce intraoperative blood loss and operation time,and is beneficial to postoperative recovery.