腹腔镜在早期胃癌根治术中的临床分析.docVIP

精品论文 参考文献 腹腔镜在早期胃癌根治术中的临床分析 （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：探讨腹腔镜在早期胃癌根治术中的临床疗效。方法: 选取我院2013年5月-2014年5月所接收治疗的100例胃癌患者，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胃癌根治手术治疗方法，观察组患者采用腹腔镜根治手术治疗，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，两组患者的各项观察指标具有明显的差距，观察组患者的手术时间显著高于对照组患者的手术时间，p＞0.05，差异不具备统计学意义。观察组患者的手术中出血量、手术后首次进食时间、手术后住院时间显著优于对照组患者，Plt;0.05差异具有统计学意义。观察组患者手术后有2例肺部感染，有1例切口感染，有1例吻合口感染。并发症发生率为8.0%。对照组患者手术后有1例肺部感染，有3例切口感染，有1例肠梗阻，有1例腹腔内出血。并发症发生率为12.0%。结论：对于胃癌患者采用腹腔镜根治手术治疗，出血量少，创伤低，手术后住院时间短，手术后恢复快，疗效显著，具有临床价值意义，可以大力推广。 【关键词】腹腔镜根治手术；胃癌；临床疗效 【中图分类号】R735 【文献标识码】B 【文章编号】1003-5028（2015）6-0649-02 【Abstract】Objective: to study the clinical curative effect of laparoscope in early gastric cancer radical. Selection methods: from May 2013 to May 2014 received the treatment of 100 patients with gastric cancer, 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 gastric cancer radical surgery treatment, observation group were treated by laparoscopic radical surgery treatment, compared two groups of clinical curative effect and adverse reaction of patients. Results: two groups of patients after treatment, two groups of patients in the observation index has obvious gap, observation group of patients with operation time, operation time is significantly higher than the control group patients (p gt; 0.05, the difference does not have statistical significance. Observation group of patients with intraoperative blood loss, for the first time to eat after the operation time, hospitalization time significantly better than the control group patients after the surgery, P lt; 0.05 difference is statistically significant. Observation group after surgery in patients with lung infection in 2 cases, 1 case of incision infection, 1 case of anastomotic infection. The incidence of complications was 8.0%. Control group after surgery in patients with lung in