胃间质瘤采用腹腔镜胃楔形切除术进行治疗的临床疗效及其安全性分析

Gastric stromal tumors by laparoscopic wedge resection of stomach analysis the clinical efficacy and safety of treatment

目的探讨分析应用腹腔镜胃楔形切除术治疗胃间质瘤的临床疗效和安全性。方法选择我院收治的胃间质瘤患者120例作为研究对象,随机分为研究组和对照组,各60例。对照组均进行开腹胃楔形切除手术,研究组均进行腹腔镜胃楔形切除术。将两组患者的手术切口长度、术中出血量、术后排气时间、术后住院时间以及术后并发症发生情况进行对比。结果两组患者手术时间相近,差异无统计学意义(P>0.05);研究组患者的手术切口长度、术中出血量、术后排气时间以及术后住院时间均显著少于对照组,差异均有统计学意义(P<0.05)。研究组患者并发症发生率为5.00%,显著低于对照组的30.00%,差异具有统计学意义(P<0.05)。结论应用腹腔镜胃楔形切除术治疗胃间质瘤,可以产生显著的临床效果,患者创伤小、恢复快,住院时间短,并发症发生率低,具有较高的安全性,值得推广应用。

Objective To explore the clinical efficacy and safety of stromal tumor resection for the treatment of gastric analysis application of laparoscopic gastric wedge. Methods In our hospital in patients with gastrointestinal stromal tumor in 120 cases as the research object,randomly divided into study group and control group,each of 60 cases.The control group underwent open gastric wedge resection operation,the study group were performed laparoscopic wedge resection of stomach.The incision length,operation of the two groups of patients with bleeding,postoperative exhaust time,postoperative hospital stay and postoperative complications were compared. Results The two groups of patients with operation time are similar,there was no significant difference（P〉0.05）;Operation incision length,operation of the patients in the study groups in the amount of bleeding,postoperative exhaust time and postoperative hospital stay were significantly less than that in the control group,the difference was statistically significant（P〈0.05）.Study group the incidence of complications was 5.00%, significantly lower than the control group of 30.00%, with significant difference（P〈0.05）. Conclusion The application of laparoscopic gastric wedge resection in the treatment of gastric stromal tumor,can produce a significant clinical effect,small trauma,quick recovery,short hospitalization time,low complication rate,high security,and is worthy of popularization and application.