腹腔镜联合胃镜切除术与开腹手术治疗胃间质瘤的疗效比较

Comparison of Efficacy between Laparoscopy Combined with Gastroscopy and Open Surgery in Treatment of Gastric Stromal Tumor

目的探讨腹腔镜联合胃镜切除术与开腹手术治疗胃间质瘤的效果。方法随机选取2007年3月—2014年3月医院择期行手术的胃间质瘤患者60例作为研究对象,采用数字随机表将患者分为对照组和观察组,对照组行开腹手术,观察组行腹腔镜联合胃镜切除术,观察两组手术情况,记录术后并发症发生率,随访12个月记录两组复发率。结果观察组术中出血量为(23.65±5.63)m L较对照组少、正常进食时间为(1.53±0.30)d较对照组短,差异有统计学意义(P<0.05);观察组术后并发症发生率为3.33%较对照组20.0%低,差异有统计学意义(P<0.05)。结论腹腔镜联合胃镜切除术治疗胃间质瘤,能够减少术中出血量,降低术后并发症发生率。

Objective To explore the effects between laparoscopy combined with gastroscopy and open operation in the treatment of gastric stromal tumor. Methods 60 patients with gastric stromal tumors admitted into the hospital from March 2007 to March2014 for operation were selected as the research object and were divided into the observation group and the control group by using the random number table. The control group was treated with open surgery while the observation group with laparoscopy combined with gastroscopy. The intraoperative conditions of the two groups were observed. The occurrence rate of postoperative complications was recorded and the recurrence rate of the two groups during 12 months of follow-up was recorded. Results The intraoperative blood loss of the observation group was（23.65 ±5.63） m L which was less than that of the control group, and the fasting time was（1.53±0.30） d which was shorter than that of the control group. The differences were statistically significant（P〈0.05）; the incidence rate of postoperative complications in the observation group was 3.33% which was lower than 20.0% of the control group and the difference was statistically significant（P〈0.05）. Conclusion Laparoscopy combined with gastroscopy in the treatment of gastric stromal tumor can reduce the amount of bleeding and the incidence of postoperative complications.