CAJ | 학술논문

目的：探讨腹腔镜微创手术在胃癌合并糖尿病治疗中的应用价值。方法选取我院2009年8月~2012年8月收治的胃癌合并糖尿病患者48例，分为对照组和观察组，每组各24例。对照组采用传统的开腹手术进行治疗，观察组采用腹腔镜微创手术进行治疗。对两组研究对象的术中、术后数据进行比较。结果在术中的操作时间、创口大小、出血量等数据的比较中，观察组优于对照组，二者具有显著差异性（P＜0.05）；在术后的肛门排气时间、感染率、进食时间、并发症等数据的比较中，观察组均优于对照组，二者具有显著差异性（P＜0.05）。结论腹腔镜微创手术具有疗效好、创伤小、安全性高、并发症少、淋巴清除率高等优势，在胃癌合并糖尿病治疗中具有重要的临床价值。
목적：탐토복강경미창수술재위암합병당뇨병치료중적응용개치。방법선취아원2009년8월~2012년8월수치적위암합병당뇨병환자48례，분위대조조화관찰조，매조각24례。대조조채용전통적개복수술진행치료，관찰조채용복강경미창수술진행치료。대량조연구대상적술중、술후수거진행비교。결과재술중적조작시간、창구대소、출혈량등수거적비교중，관찰조우우대조조，이자구유현저차이성（P＜0.05）；재술후적항문배기시간、감염솔、진식시간、병발증등수거적비교중，관찰조균우우대조조，이자구유현저차이성（P＜0.05）。결론복강경미창수술구유료효호、창상소、안전성고、병발증소、림파청제솔고등우세，재위암합병당뇨병치료중구유중요적림상개치。
Objetcive To explore the application value of laparoscopic minimally invasive surgery in the therapy of gastric cancer combined with diabetes. Methods 48 patients with gastric cancer combined with diabetes who had been admitted from August 2009 to August 2012 in our hospital were divided into control group (24 cases) and observation group (24 cases). Control group was treated with traditional laparotomy while observation group was treated with laparoscopic minimally invasive surgery. Then the intraoperative data and postoperative data of the two groups were compared. Results Comparison results of intraoperative data such as operation time, size of the wounds, and amount of bleeding showed that observation group was better than control group (P<0.05). Comparison results of postoperative data such as anus exhaust time, infection rate, eating time, complications showed that observation group was better than control group (P<0.05). Conclusion Laparoscopic minimally invasive surgery has many advantages such as good curative effect, small trauma, high safety, less complications and high lymphatic clearance so that it has important value in the therapy of gastric cancer combined with diabetes.