进展期胃癌行根治术与传统治疗后围术期并发症随机对照实验研究.docVIP

进展期胃癌行根治术与传统治疗后围术期并发症随机对照实验研究 　　摘要：目的 探究进展期胃癌患者通过腹腔镜与开腹根治术治疗后在围手术期并发症方面产生的影响。方法 选取我院收治的进展期胃癌患者60例，随机分为两组各30例。对照组为开腹根治术治疗，观察组为腹腔镜根治术治疗。对术中、术后并发症发生率进行对比分析。结果 术中对照组并发症发生率高于观察组相比无明显差异（P0.05）；术后观察组并发症发生率明显低于对照组（P0.05）。结论 进展期胃癌患者通过腹腔镜与开腹根治术治疗相比，术中并发症发生率差异不明显。术后腹腔镜治疗后并发症发生率明显低于开腹根治术治疗。 　　关键词：进展期胃癌；腹腔镜；开腹根治术；围手术期；并发症 　　中图分类号：R735.2 文献标识码：A 文章编号：1006-1959（2017）25-0027-02 　　Abstract：Objective To investigate the impact of perioperative complications in patients with advanced gastric cancer treated by laparoscopy and laparotomy.Methods 60 patients with advanced gastric cancer were selected in our hospital were randomly divided into two groups with 30 cases in each group.The control group underwent radical resection，the observation group was treated by laparoscopic radical resection.The intraoperative and postoperative complication rates were analyzed.Results The incidence of complications in the control group was higher than that of the observation group showed no significant difference（P0.05）；the complication rate of observation group was significantly lower than that in control group（P0.05）. Conclusion The patients with advanced gastric cancer by laparoscopic and open radical resection compared with intraoperative complication rate was not significantly different.After laparoscopic treatment of postoperative complication rate was significantly lower than that of radical open surgery treatment. 　　Key words：Advanced gastric cancer；Laparoscopy；Open radical mastectomy；Perioperative period；Complications 　　胃癌是?R床常见的消化系统肿瘤，在我国的发病率较高，男性多于女性，病变部位多出现于胃窦部，特别是胃小弯侧，病情复杂，对患者危害性较大[1]，必须进行早期有效治疗。本文为探究进展期胃癌患者通过腹腔镜与开腹根治术治疗后在围手术期并发症方面产生的影响，选取我院收治的60例进展期胃癌患者，现报道如下。 　　1资料与方法 　　1.1一般资料 　　将我院2014年1月～2016年6月收治的60例进展期胃癌患者为研究资料，随机分观察组和对照组各30例。纳入标准：①两组患者均符合WHO规定的进展期胃癌的相关诊断标准[2]；②征得所有患者同意。排除标准：①伴有心血管、脑血管疾病患者；②不正常的肝功能和肾功能者；③对药物易产生过敏反应者。观察组男13例，女17例，年龄55～75岁，平均年龄（65±2.1）岁，病程1～2年，平均病程（1.5±0.3）年；对照组男16例，女14例，年龄50～70岁，平均年龄（60±1.5）岁，病程1～3年，平均病程（2.0±1.1）年。两组患者基本资料方面无任何差异（P0.05），可以实施相关研究。 　　1.2方法