腔腹镜下胃癌根治术在早期胃癌患者中的治疗效果分析

Analysis of the therapeutic effect of laparoscopic radical gastrectomy for early gastric cancer

目的探讨腹腔镜下胃癌根治术治疗早期胃癌的临床效果。方法回顾性分析2014年11月至2016年5月接收诊治的98例早期胃癌患者,开腹组和腹腔镜组各49例。运用统计学软件SPSS 16.0进行统计处理,两组临床疗效比较和术后并发症率用百分比(%)表示,χ2检验;手术相关指标应用(x±s)表示,采用t检验。P值小于0.05差异有统计学意义。结果腹腔镜组患者术后1年时病死率和复发率为8.1%和22.5%,开腹组为10.2%和24.5%,经比较差异均无统计学意义(P>0.05)。腹腔镜组患者相关手术指标均显著优于开腹组,差异有统计学意义(P<0.05)。腹腔镜组患者并发症发生率2.0%(1/49)远远低于开腹组16.3%(8/49),差异有统计学意义(P<0.05)。结论腹腔镜下胃癌根治术治疗早期胃癌患者的疗效理想,具有创伤小、恢复快以及并发症率低等特点,值得在临床治疗中广泛推广应用。

Objective To study the clinical effect of laparoscopic radical gastrectomy for early gastric cancer. Methods Chooses 2014. 11 - 2016. 05 period in our hospital receiving treatment of 98 cases of early gastric cancer patients, using computer to draw for the average packet, a group of 49 patients underwent conventional laparotomy as laparotomy group; a group of 49 patients underwent laparoscopic radical gastrectomy for laparoscopic treatment. Statistical software SPSS 16.0 was used for statistical processing. The clinical curative effect and complication rate were expressed as percentage （ % ） and/t1/2 test. The operative related indexes were expressed by （ x± s ） and t test, P 〈 0. 05 had statistical significance. Results The mortality and recurrence rate were 8.1% and 22.5% in laparoscopic group at 1 year after operation, and 10.2% and 24.5% in laparotomy group, respectively. There was no significant difference between two groups （ P 〉 0.05 ）. The operation index of the laparoseopic group was significantly better than the laparotomy group, the difference was statistically significant P 〈 0.05. The incidence of complications in the laparoscopic group was 2.0% （1/49） much lower than that in the laparotomy group was 16.3 % （8/49）, the difference was statistically significant P 〈 0.05. Conclusion The curative effect of laparoscopic radical gastrectomy for early gastric cancer is ideal, with the characteristics of small trauma, quick recovery and low complication rate, it is worthy to be widely used in clinical treatment.