胃间质瘤经腹腔镜与开腹手术治疗效果的临床对比研究.docVIP

精品论文 参考文献 胃间质瘤经腹腔镜与开腹手术治疗效果的临床对比研究 王春明 杨剑 　　（南京医科大学附属无锡市第二人民医院 江苏 无锡 214002） 　　【摘 要】目的：探讨腹腔镜与开腹手术治疗胃间质瘤的临床疗效。方法：选取我院2013年6月-2014年6月所接收治疗的100例胃间质瘤患者，依据不同的治疗方案，随机分为观察组和对照组，每组患者50例。对照组患者采用常规开腹手术治疗方法，观察组患者采用腹腔镜手术治疗方法，对比分析两组患者的临床疗效和不良反应情况。结果：两组患者治疗后，两组患者的手术都非常成功，观察组患者的手术治疗时间、手术中出血量、手术后排气时间、手术后住院时间、手术后并发症显著优于对照组患者，Plt;0.05差异具有统计学意义。结论：对于胃间质瘤患者，采用腹腔镜手术治疗方法，短期内临床疗效显著，手术时间短，手术中出血量较少，并发症少，具有临床意义，可以大力推广。 　　【关键词】腹腔镜手术；胃间质瘤；开腹手术 　　【中图分类号】R735.2 【文献标识码】B 【文章编号】1003-5028（2015）6-0571-01 　　【Abstract】Objective: to study the laparoscopic and open surgery in the treatment of gastric stromal tumor of the clinical curative effect. Methods: select our June 2013 - June 2014 received the treatment of 100 patients with gastric stromal tumor, according to the different treatment, were randomly divided into observation group and control group, 50 cases in each group patients. Control group were treated by conventional laparotomy treatment, observation of treatment group were treated by laparoscopic surgery, comparative analysis of two groups of patients with clinical efficacy and adverse reactions. Results: two groups of patients after treatment, two groups of patients with surgery was very successful, observation group of patients with operative time, intraoperative blood loss, postoperative exhaust time, postoperative hospital stay, and complications after the operation, significantly better than the control group patients, P lt; 0.05 difference is statistically significant. Conclusion: for patients with gastric stromal tumor, laparoscopic surgery treatment, the short-term clinical efficacy significantly, shorter operation time, less intraoperative blood loss, fewer complications, clinical significance, can be promoted. 　　【key words】laparoscopic surgery; Gastric stromal tumors. Open operation 　　在现代临床研究治疗中，最常见的消化道叶源性肿瘤中就是胃间质瘤，胃间质瘤的发病率和死亡率逐年上升，胃间质瘤可以产生于机体消化道的任何一个部位对，最常见的病灶是胃部，对于现代人类的生活和生命构成了严重的威胁。当下，随着我国腹腔镜技术的大力发展，很多的胃间质瘤患者得以接受良好的治疗，传统的治疗胃间质瘤的手术方法是开腹手术，但是开腹手术对患者造成的创伤非常大，并且手术后恢复时间较为