腹腔镜与开腹手术在胃肠肿瘤治疗中的效果

The Effect of Laparoscopy and Laparotomy in the Treatment of Gastrointestinal Tumors

目的探讨腹腔镜与开腹手术治疗胃肠肿瘤的效果。方法挑选2018年1月—2021年1月南通市海门区中医院收治的60例胃肠肿瘤患者,随机分成观察组与对照组,每组30例。对照组采用开腹手术,观察组应用腹腔镜手术治疗,对比两组治疗效果。结果观察组的并发症率为10.00%,低于对照组的33.33%,差异有统计学意义(P<0.05)。观察组的复发率、转移率分别为3.33%、0.00%,低于对照组的23.33%、13.33%,但差异无统计学意义(P>0.05)。观察组的术中出血量较对照组少,术后下床活动用时、胃肠功能恢复用时、住院时长都短于对照组,差异有统计学意义(P<0.05)。观察组总有效率为96.67%,对照组总有效率为80.00%,观察组的总有效率较对照组高,差异无统计学意义(χ^(2)=2.588,P=0.108)。结论采用腹腔镜手术治疗胃肠肿瘤,效果显著,术后患者能够尽快恢复。

Objective To investigate the effect of laparoscopy and laparotomy in the treatment of gastrointestinal tumors.Methods A total of 60patients with gastrointestinal tumors admitted to Haimen District Hospital of Traditional Chinese Medicine of Nantong City from January 2018to January 2021 were selected and randomly divided into an observation group and a control group,with 30 cases in each group.The control group was treated with open surgery,while the observation group was treated with laparoscopic surgery.The therapeutic effects of the two groups were compared.Results The complication rate of the observation group was 10.00%,lower than that of the control group(33.33%),and the difference was statistically significant(P<0.05).The recurrence rate and metastasis rate of the observation group were 3.33%and 0.00%,respectively,which were lower than those of the control group(23.33%,13.33%),but the difference was not statistically significant(P>0.05).The intraoperative blood loss in the observation group was less than that in the control group,and the postoperative ambulation time,gastrointestinal function recovery time,and hospital stay in were shorter than those in the control group,the difference was statistically significant(P<0.05).The total effective rate in the observation group was 96.67%,the total effective rate of the control group was 80.00%,and the total effective rate of the observation group was higher than that of the control group,and the difference was not statistically significant(χ^(2)=2.588,P=0.108).Conclusion Laparoscopic surgery for the treatment of gastrointestinal tumors has a significant effect,and patients can recover as soon as possible after surgery.