腹腔镜与内镜联合治疗对胃肠道肿瘤患者短期创伤程度的评估

Assessment of short-term trauma severity of patients with gastrointestinal tumors by combined laparoscopic and endoscopic treatment

目的评估腹腔镜与内镜联合治疗对胃肠道肿瘤患者短期创伤程度。方法抽取胃肠道肿瘤患者68例为观察对象,按随机数字表法分为观察组(n=34)和对照组(n=34)。对照组给予传统开腹手术治疗,观察组给予内镜联合腹腔镜治疗。对比两组患者创伤程度、炎症因子水平及临床效果。结果观察组患者手术切口长度(2.39±1.02)cm短于对照组的(7.21±1.32)cm,术中出血量(34.96±5.96)ml少于对照组的(65.13±5.12)ml,术后1 d视觉模拟评分法(VAS)评分(3.12±1.21)分较对照组的(4.96±1.01)分更低(P<0.05)。观察组患者复发率6.25%、并发症发生率2.94%较对照组的28.57%、17.65%更低(P<0.05)。结论相较于传统开腹手术,腹腔镜联合内镜应用于胃肠道肿瘤的治疗中减轻了手术对机体的短期创伤,患者应激水平低,免疫抑制轻,救治安全性更高。

Objective To assess the short-term trauma severity of patients with gastrointestinal tumors by combined laparoscopic and endoscopic treatment.Methods 68 patients with gastrointestinal tumors were selected as the observation subjects,and were divided into an observation group(n=34)and a control group(n=34)according to random number table method.The control group was given traditional open surgery,and the observation group was given combined laparoscopic and endoscopic treatment.The trauma severity,inflammatory cytokine levels and clinical effects were compared between the two groups.Results In the observation group,the incision length was(2.39±1.02)cm,which was shorter than(7.21±1.32)cm in the control group;the intraoperative blood loss was(34.96±5.96)ml,which was less than(65.13±5.12)ml in the control group;the visual analogue scale(VAS)score was(3.12±1.21)points,which was lower than(4.96±1.01)points in the control group(P<0.05).The observation group had recurrence rate of 6.25% and complication rate of 2.94%,which were lower than 28.57% and 17.65% in the control group(P<0.05).Conclusion Compared with traditional open surgery,the combined laparoscopic and endoscopic treatment in the treatment of gastrointestinal tumors reduces the short-term trauma to the body,and patients have lower stress levels and mild immune suppression,so it has high safety in treatment.