腹腔镜微创手术治疗胃肠肿瘤的临床疗效及预后影响分析

Analysis of the Clinical Effect and Prognosis of Laparoscopic Minimally Invasive Surgery for Gastrointestinal Tumors

目的腹腔镜微创手术治疗胃肠肿瘤的临床疗效及预后影响分析。方法选取2018年3月—2019年3月于该院就诊的胃肠肿瘤患者120例进行观察研究,并依据不同治疗方式将其分为两组,对照组60例予以传统手术治疗,观察组60例予以腹腔镜微创手术治疗,对比观察两组临床疗效及预后效果。结果①临床治疗指标对比:两组术中出血量、术后初次下床活动时间、术后排气时间、住院时间比较,观察组明显优于对照组(t=66.640、11.050、19.440、32.207,P<0.05)。②并发症发生率对比:两组切口感染、腹胀腹痛、肠梗阻、吻合口瘘并发症发生率比较,观察组明显低于对照组(χ^2=4.821、5.885、4.386、4.386,P<0.05)。③随访期间肿瘤复发率及转移率对比:观察组肿瘤复发率(3.33%)及转移率(1.67%)显著低于对照组肿瘤复发率(13.33%)及转移率(15.00%)(χ^2=3.927,6.981,P<0.05)。结论临床对胃肠肿瘤患者予以腹腔镜微创手术治疗,并发症较少,临床疗效显著,且随访调查肿瘤复发及转移率均较低,预后恢复好。

Objective To analyze the clinical effect and prognosis of laparoscopic minimally invasive surgery for gastrointestinal tumors.Methods 120 patients with gastrointestinal cancer who were treated in the hospital from March 2018 to March 2019 were selected for observation and study.According to different treatment methods,they were divided into two groups.60 patients in the control group were treated with traditional surgery,60 patients in the observation group were treated with laparoscopic minimally invasive surgery,and the clinical efficacy and prognosis of the two groups were compared and observed.Results 1.The clinical treatment indexes were compared:the amount of bleeding in the two groups,the time of first going out of bed after operation,the time of recovery of gastrointestinal function and the time of hospitalization,the observation group was significantly better than the control group(t=66.640,11.050,19.440,32.207,P<0.05).2.The incidence of complications was compared:the incidence of incision infection,abdominal distention and abdominal pain,intestinal obstruction and anastomotic fistula in the two groups was significantly lower in the observation group than in the control group(χ2=4.821,5.885,4.386,4.386,P<0.05).3.Comparison of tumor recurrence rate and metastasis rate during follow-up;the tumor recurrence rate(3.33%)and metastasis rate(1.67%)in the observation group were significantly lower than those in the control group(13.33%)and metastasis rate(15.00%)(χ^2=3.927,6.981,P<0.05).Conclusion Laparoscopic minimally invasive surgery for gastrointestinal tumor patients has less complications and significant clinical effect,and the tumor recurrence and metastasis rate of the follow-up investigation were lower.