CAJ | 학술논문

目的探讨超声刀在开腹胃癌D2根治术中的临床应用价值.方法回顾性分析郑州大学附属洛阳市中心医院2008年9月-2010年9月收治的136例胃癌D2根治术患者的病例资料,分为超声刀组和常规手术组,其中75例应用超声刀,61例应用电刀,比较两组淋巴结清扫时间、术中出血量、术后72 h引流量、术后并发症等情况,两样本均数间比较采用方差分析.结果超声刀组平均手术时间为(114±35) mL；手术出血量为(110.4±32) mL；术后72 h引流量为(180±24) mL.与常规手术组相比,手术时间、术中出血量及术后72 h引流量均明显减少(P＜0.05).超声刀组平均总淋巴结检出数为18枚,常规手术组平均总淋巴结检出数为17枚,两组淋巴结检出率差异无统计学意义(P＞0.05).结论超声刀应用于开腹胃癌D2根治术,能够提高手术疗效、减少创伤、加快术后恢复,在胃癌根治术中具有较好的应用前景.
목적 탐토초성도재개복위암D2근치술중적림상응용개치.방법 회고성분석정주대학부속락양시중심의원2008년9월-2010년9월수치적136례위암D2근치술환자적병례자료,분위초성도조화상규수술조,기중75례응용초성도,61례응용전도,비교량조림파결청소시간、술중출혈량、술후72 h인류량、술후병발증등정황,량양본균수간비교채용방차분석.결과 초성도조평균수술시간위(114±35) mL；수술출혈량위(110.4±32) mL；술후72 h인류량위(180±24) mL.여상규수술조상비,수술시간、술중출혈량급술후72 h인류량균명현감소(P＜0.05).초성도조평균총림파결검출수위18매,상규수술조평균총림파결검출수위17매,량조림파결검출솔차이무통계학의의(P＞0.05).결론 초성도응용우개복위암D2근치술,능구제고수술료효、감소창상、가쾌술후회복,재위암근치술중구유교호적응용전경.
Objective To investigate the ultrasonic clinical value of scalpel in abdominal surgery for D2 radical gastrectomy for gastric cancer.Methods A retrospective analysis was made in Zhengzhou University Affiliated Luoyang Central Hospital from September 2008 to September 2010 gastric group.The patients were divided into ultrasound knife group and normal operative in 136,including 75 cases using ultrasonic scalpel,61 using cases electric knife.The lymph node dissection time,intraoperative blood loss,the drainage 72 h after were compared between the two groups.Results The average operation time ultrasound knife group was ( 114 ± 35 ) min,the surgery blood loss was ( 110.4 ± 32) mL.The drainage 72 h after operation was (180 ± 24) mL,which were significantly reduced compared with the normal operative group.The difference in detection rate between the two groups was not statric cancer can improve efficiency,reduce trauma,accelerate postoperative recovery,showing good application prospect in radical resection of gastri cancer.Conclusions Ultrasound knife used in D2 radical gastrectomy for gastric cancer can improve efficiency,reduce trauma,accelerate postoperative recovery,showing good application prospect in radical resection of gastric cancer.