分析腹腔镜手术治疗进展期远端胃癌的临床疗效及患者术后随访生存质量的影响

Analyze the Clinical Efficacy of Laparoscopic Surgery in the Treatment of Advanced Distal Gastric Cancer and the Impact of the Quality of Life of Patients in the Follow-up

目的为处于进展期远端胃癌的患者实施腹腔镜手术的临床疗效和术后生活质量进行分析研究。方法选择2018年4月—2019年4月在该院接受远端胃癌治疗的进展期100例患者,按照奇偶法将样本均分为两组,腹腔镜组和开腹组,开腹组实施开腹胃癌根治术,腹腔镜组实施腹腔镜手术,比较两组患者的临床疗效、手术相关指标、产生术后并发症的情况以及为患者实施术后随访的生活质量情况。结果腹腔镜组患者的治疗总有效率(98.00%)明显高于开腹组(74.00%),差异有统计学意义(χ^2=11.960,P<0.05);腹腔镜组患者术后并发症的总发生率(2.00%)明显低于开腹组(22.00%),差异有统计学意义(χ^2=9.715,P<0.05);腹腔镜组患者的手术相关指标除术中出血量外其他指标均明显好于开腹组,差异有统计学意义(P<0.05);腹腔镜组患者的各项生活质量评分以及总分明显好于开腹组,差异有统计学意义(P<0.05)。结论为进展期远端胃癌患者实施腹腔镜手术不仅可以促进患者康复,改善患者的手术指标情况,还可以提升患者手术之后的生活质量,相比开腹胃癌根治术,腹腔镜手术更值得在临床中推广应用。

Objective To analyze and study the clinical efficacy and postoperative quality of life of patients with advanced distal gastric cancer undergoing laparoscopic surgery. Methods A total of 100 patients with advanced stages of gastric cancer who received treatment for distal gastric cancer in the hospital from April 2018 to April 2019.According to the parity method, the samples were divided into two groups, the laparoscopic group and the laparotomy group. The abdominal group performed open radical gastric cancer resection, and the laparoscopic group performed laparoscopic surgery. The clinical efficacy, operation-related indicators, postoperative complications, and quality of life of the patients during postoperative follow-up were compared between the two groups. Results The total effective rate of treatment in the laparoscopic group(98.00%) was significantly higher than that of the open group(74.00%),the difference was statistically significant(χ^2=11.960, P <0.05);the total incidence of postoperative complications in the laparoscopic group(2.00%) significantly lower than the laparotomy group(22.00%),the difference was statistically significant(χ^2=9.715, P <0.05);the laparoscopic group had significantly better surgical-related indicators except for intraoperative blood loss than the laparotomy group,the difference was statistically significant(P<0.05);the quality of life scores and total scores of patients in the endoscopy group were significantly better than those in the laparotomy group,the difference was statistically significant(P<0.05). Conclusion Laparoscopic surgery for patients with advanced distal gastric cancer can not only promote the patient’s recovery, improve the patient’s surgical indicators, but also improve the patient’s quality of life after surgery. Compared with open radical gastric cancer surgery, laparoscopic surgery is more worthy of clinical practice promotion and application.