腹腔鏡與傳統(tǒng)開(kāi)腹手術(shù)治療早期胃癌的療效對(duì)比分析

[摘要] 目的 比較腹腔鏡和開(kāi)腹術(shù)兩者治療早期胃癌的效果。方法 方便選擇2013年1月—2015年1月該院收治的60例早期胃癌患者為研究對(duì)象，依照就診順序，將患者平均分為兩組，每組30例，對(duì)照組行開(kāi)腹術(shù)，觀察組行腹腔鏡術(shù)，手術(shù)結(jié)束后，對(duì)比患者治療安全性，近期療效，中期療效和不良反應(yīng)發(fā)生情況。結(jié)果 觀察組患者的手術(shù)時(shí)長(zhǎng)（286.9±54.1）min顯著比對(duì)照組高，但術(shù)中出血量（261.6±59.7）mL，腸道排氣時(shí)間（3.6±1.1）d和進(jìn)食時(shí)長(zhǎng)（3.7±1.1）d較低，組間差異有統(tǒng)計(jì)學(xué)意義，P<0.05。觀察組不良反應(yīng)發(fā)生率（6.67%）與對(duì)照組比較（9.99%）組間數(shù)據(jù)差異無(wú)統(tǒng)計(jì)學(xué)意義，P>0.05。患者均順利完成隨訪，觀察組1年生存率（76.67%）與對(duì)照組（70.00%）比較差異無(wú)統(tǒng)計(jì)學(xué)意義，觀察組腫瘤復(fù)發(fā)率（36.67%）與對(duì)照組（43.33%），差異無(wú)統(tǒng)計(jì)學(xué)意義，P>0.05。患者其余手術(shù)安全性指標(biāo)差異無(wú)統(tǒng)計(jì)學(xué)意義，P>0.05。結(jié)論 對(duì)于早期胃癌患者，使用腹腔鏡法實(shí)施外科手術(shù)，可以取得相對(duì)滿意的臨床效果，近期與中期療效確切，不良反應(yīng)少，值得進(jìn)一步推廣使用。

[關(guān)鍵詞] 腹腔鏡；開(kāi)腹術(shù)；早期胃癌；療效對(duì)比

[中圖分類號(hào)] R735 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2016）11（a）-0075-03

[Abstract] Objective To compare laparoscopic and open surgery for the treatment of early gastric cancer.Methods Convenient selection January 2013 to January 2015， 1 months in our hospital from 60 cases of early gastric cancer were selected as the research object， according to the order of treatment. The patients were divided into two groups， 30 cases in each group， the control group underwent laparotomy observed group underwent laparoscopic surgery， after surgery， comparative safety in treatment， the curative effect in the near future， the medium-term efficacy and adverse reaction of occurrence. Results The observation group of patients with surgery time（286.9±54.1） min significantly higher than control group， but the intraoperative blood loss （261.6±59.7）mL， intestinal exhaust time （3.6±1.1）d and the eating time （3.7±1.1）d is lower， the difference between group P < 0.05. Observation group， incidence of adverse reactions （6.67%） compared with control group （9.99%） of the data no statistical difference between groups（P > 0.05）. Patients with the rest of the operation safety indicators there is no statistical difference， P < 0.05.Patients were successfully completed follow-up， observation group 1 year survival rate （76.67%） compared with control group （70.00%） had no significant difference， tumor recurrence rate （36.67%） of the observation group and control group （43.33%） had no significant difference， P > 0.05.Conclusion For patients with early gastric cancer， using the method of laparoscopic surgery， relatively satisfactory clinical effect can be obtained， with recent mid-term curative effect， less adverse reactions， worthy of further promotion of use.

[Key words] Laparoscopic； Laparotomy surgery； Early gastric cancer； Effect of contrast

胃癌是一種常見(jiàn)的消化系統(tǒng)腫瘤疾病。隨著我國(guó)民眾生活方式的改變，胃癌疾病的發(fā)生率也呈現(xiàn)出了逐年增長(zhǎng)的趨勢(shì)[1]。該疾病的病死率已經(jīng)超過(guò)其他腫瘤疾病。對(duì)于胃癌疾病患者，臨床上主張使用外科方式對(duì)患者進(jìn)行相關(guān)治療，該研究方便選取2013年1月—2015年1月該院收治的60例早期胃癌患者為研究對(duì)象，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

方便選擇該院收治的60例早期胃癌患者為研究對(duì)象，將患者隨機(jī)平均分成觀察組與對(duì)照組，每組30例。……