中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
26期
12-14
,共3页
刘汇明%马荣梅%丁洪华%于素芹%寇晨光%刘翠云
劉彙明%馬榮梅%丁洪華%于素芹%寇晨光%劉翠雲
류회명%마영매%정홍화%우소근%구신광%류취운
胃肿瘤%淋巴结切除术%纳米炭
胃腫瘤%淋巴結切除術%納米炭
위종류%림파결절제술%납미탄
Stomach neoplasms%Lymph node excision%Carbon nanoparticle
目的 探讨局部注射纳米炭在胃癌根治术中的临床应用价值.方法 将40例胃癌患者术中局部注射纳米炭行胃癌根治术作为试验组,40例胃癌患者行常规胃癌根治术作为对照组,对清扫微小淋巴结的数量及转移微小淋巴结的数量进行对比.结果 试验组和对照组平均每例清扫微小淋巴结数量N1、N2、N3间差异均有统计学意义[(5.120 ±0.455)枚比(2.900 ± 0.245)枚、(3.890±0.367)枚比(1.750±0.256)枚、(1.790±0.224)枚比(0.590±0.054)枚](P＜0.01).试验组和对照组平均每例清扫转移微小淋巴结数量N1、N2、N3差异均有统计学意义[(1.090±0.087)枚比(0.430±0.044)枚、(0.550±0.052)枚比(0.340±0.027)枚、(0.410±0.044)枚比(0.130±0.013)枚](D＜0.05).两组患者术后并发症、病死率及住院时间比较差异无统计学意义(P＞0.05).结论 在胃癌根治术中应用纳米炭是一种简单、安全和易行的方法,对常规胃癌根治术有一定的辅助作用.
目的 探討跼部註射納米炭在胃癌根治術中的臨床應用價值.方法 將40例胃癌患者術中跼部註射納米炭行胃癌根治術作為試驗組,40例胃癌患者行常規胃癌根治術作為對照組,對清掃微小淋巴結的數量及轉移微小淋巴結的數量進行對比.結果 試驗組和對照組平均每例清掃微小淋巴結數量N1、N2、N3間差異均有統計學意義[(5.120 ±0.455)枚比(2.900 ± 0.245)枚、(3.890±0.367)枚比(1.750±0.256)枚、(1.790±0.224)枚比(0.590±0.054)枚](P＜0.01).試驗組和對照組平均每例清掃轉移微小淋巴結數量N1、N2、N3差異均有統計學意義[(1.090±0.087)枚比(0.430±0.044)枚、(0.550±0.052)枚比(0.340±0.027)枚、(0.410±0.044)枚比(0.130±0.013)枚](D＜0.05).兩組患者術後併髮癥、病死率及住院時間比較差異無統計學意義(P＞0.05).結論 在胃癌根治術中應用納米炭是一種簡單、安全和易行的方法,對常規胃癌根治術有一定的輔助作用.
목적 탐토국부주사납미탄재위암근치술중적림상응용개치.방법 장40례위암환자술중국부주사납미탄행위암근치술작위시험조,40례위암환자행상규위암근치술작위대조조,대청소미소림파결적수량급전이미소림파결적수량진행대비.결과 시험조화대조조평균매례청소미소림파결수량N1、N2、N3간차이균유통계학의의[(5.120 ±0.455)매비(2.900 ± 0.245)매、(3.890±0.367)매비(1.750±0.256)매、(1.790±0.224)매비(0.590±0.054)매](P＜0.01).시험조화대조조평균매례청소전이미소림파결수량N1、N2、N3차이균유통계학의의[(1.090±0.087)매비(0.430±0.044)매、(0.550±0.052)매비(0.340±0.027)매、(0.410±0.044)매비(0.130±0.013)매](D＜0.05).량조환자술후병발증、병사솔급주원시간비교차이무통계학의의(P＞0.05).결론 재위암근치술중응용납미탄시일충간단、안전화역행적방법,대상규위암근치술유일정적보조작용.
Objective To evaluate the clinical application value of local injections of carbon nanoparticle in gastrectomy of stomach neoplasms.Methods Forty cases of stomach neoplasms with local injections of carbon nanoparticle in gastrectomy of stomach neoplasms were as experimental group,and 40 cases of stomach neoplasms with conventional gastrectomy of stomach neoplasms were as control group.The number of removed tiny lymph node and transferred tiny lymph node was compared.Results There was significant difference in the average number of removed tiny lymph node N1,N2,N3 between experimental group and control group (5.120 ± 0.455 vs.2.900 ± 0.245,3.890 ± 0.367 vs.1.750 ± 0.256,1.790 ± 0.224 vs.0.590 ± 0.054)(P ＜ 0.01).There was significant difference in the average number of transferred tiny lymph node N1,N2,N3 between experimental group and control group (1.090 ±0.087 vs.0.430 ± 0.044,0.550 ± 0.052 vs.0.340 ± 0.027,0.410 ± 0.044 vs.0.130 ± 0.013)(P ＜ 0.05).There was no significant difference in postoperative complications,mortality and length of hospital stay(P＞ 0.05).Conclusion Carbon nanoparticle in gastrectomy of stomach neoplasms is a simple,safe,easy method,and it has certain supplementary role in conventional gastrectomy of stomach neoplasms.
