腹腔镜微创手术联合内镜治疗胃肠肿瘤的效果

Clinical effect analysis of laparoscopic minimally invasive surgery combined with endoscopy in the treatment of gastrointestinal tumors

目的探讨腹腔镜微创手术联合内镜在胃肠肿瘤治疗中的临床效果,为提高胃肠肿瘤治疗水平提供理论依据。方法选取我院2016年10月~2017年10月收治的80例胃肠肿瘤患者作为研究对象,用随机数字表法将其分为实验组和对照组,每组各40例。对照组进行传统开腹手术治疗;实验组采用腹腔镜微创手术联合内镜治疗。比较两组的手术时间、术中出血量;术后导管滞留时间、术后排气时间;术后并发症(感染、腹泻及呕吐)情况。结果实验组手术时间为(100.34±10.34)min,短于对照组的(135.23±20.23)min,(P<0.05);实验组术中出血量为(46.32±6.21)ml,少于对照组的(100.34±10.34)ml(P<0.05)。实验组术后导管滞留时间为(2.42±1.36)d,短于对照组的(3.22±1.34)d(P<0.05);实验组术后排气时间为(2.56±0.98)d,短于对照组的(4.02±1.34)d(P<0.05)。实验组总并发症发病率为10.0%,低于对照组的27.5%,差异有统计学意义(P<0.05)。结论腹腔镜微创手术联合内镜治疗胃肠肿瘤可以缩短手术时间、减少术中出血量,缩短术后导管滞留时间、缩短术后排气时间,降低术后并发症的发生率。

Objective To explore the clinical effect of laparoscopic minimally invasive surgery combined with endoscopic therapy in the treatment of gastrointestinal tumors and to provide theoretical basis for improving the treatment level of gastrointestinal tumors. Methods From October 2016 to October 2017, 80 patients with gastrointestinal neoplasms were selected as study subjects. They were divided into experimental group and control group by random number table method, 40 cases in each group. The patients in the control group were treated with traditional open surgery and the patients in the experimental group were treated with laparoscopic minimally invasive surgery combined with endoscopy. The operative time, intraoperative bleeding volume, postoperative catheter retention time, postoperative exhaust time and postoperative complications（infection, diarrhea and vomiting） were compared between the two groups.Results The operation time of the the experimental group was（100.34±0.34） min, which was significantly shorter than that of the control group of（135.23 ±20.23） min（P〈0.05）. In the experimental group, the intraoperative blood loss was（46.32 ±6.21） ml, which was losser than that of the control group of（100.34 ±10.34） ml（P 0.05）. The postoperative catheter retention time in the experimental group was（2.42±1.36） d, which was shorter than that in the controi group of（3.22±1.34） d（P〈0.05）; The postoperative exhaust time in the experimental group was（2.56±0.98） d, which was shorter than that in the control group of（4.02±1.34） d（P〈0.05）. The incidence of total complication in experimental group was10.0%, which was lower than that in control group 27.5%, the difference was statistically significant（P〈0.05）. Conclusion Laparoscopic minimally invasive surgery combined with endoscopic treatment of gastrointestinal tumors can shorten the operative time, reduce the amount of intraoperative bleeding, shorten the retention time of the catheter, shorten the postoperative exhaust time, and reduce postoperative complications.