腹腔镜与开腹手术治疗早期胃癌临床效果对比探讨

Comparison of Clinical Effects of Laparoscopic and Open Surgery for Early Gastric Cancer

目的探讨腹腔镜与开腹手术治疗早期胃癌临床效果对比。方法随机选出98例该院2016年9月—2017年12月早期胃癌患者,采用数字表将研究对象随机的分为两组。对照组患者接受的是开腹手术,治疗组患者接受的是腹腔镜手术。观察对比两组患者的手术情况。结果该次研究所接收的98例患者在接受治疗后,治疗组术中出血量201.56±45.52)m L、手术所耗时间(190.45±42.52)min、切口长度(7.39±1.82)cm、术后住院时间(10±1.68)d、术后排气时间(2.84±0.50)d;对照组术中出血量(206.42±32.51)m L、手术所耗时间(195.47±35.26)min、切口长度(20.56±3.63)cm、术后住院时间(18±2.5)d、术后排气时间(4.56±0.63)d。以上数据表明,在治疗情况方面,治疗组与对照组在术中出血量以及手术所耗时间差异无统计学意义(t=0.953、1.373,P>0.05),但是术后住院时间、排气时间以及手术切口长度这三方面,两组之间差异有统计学意义(t=7.403、8.590、4.508,P<0.05)。结论腹腔镜手术在早期胃癌疾病的临床治疗工作中有着更显著的治疗效果。

Objective This paper tries to investigate the clinical effect of laparoscopic and open surgery for early gastric cancer. Methods 98 patients with early gastric cancer in this hospital from September 2016 to December 2017 were random selected and the subjects were randomly divided into two groups using a digital table. Patients in the control group received laparotomy and patients in the treatment group received laparoscopic surgery. Observe and compare the operation conditions of the two groups of patients. Results After receiving the treatment, 98 patients received in this study received an intraoperative blood loss of（201.56±45.52）m L, a surgery time of（190.45±42.52）min, an incision length of（7.39±1.82）cm, and postoperative hospitalization time was（10±1.68）d and the postoperative exhalation time was（2.84±0.50）d. In the control group,the intraoperative blood loss was（206.42±32.51）m L, the operation time was（195.47±35.26）min, and the incision length was（20.56±3.63）cm, postoperative hospital stay（18±2.5）d, postoperative venting time（4.56±0.63）d. The above data showed that in terms of treatment, there was no significant difference in the amount of intraoperative blood loss and operation time between the treatment group and the control group（t=0.953, 1.373, P〉0.05）, but the postoperative hospital stay and discharge time and the length of surgical incision, the difference between the two groups was statistically significant（t=7.403, 8.590,4.508, P〈0.05）. Conclusion Laparoscopic surgery has a more significant therapeutic effect in the clinical treatment of early gastric cancer.