CAJ | 학술논문

【目的】比较胃镜联合腹腔镜手术与常规开腹手术对早期胃癌治疗的临床疗效。【方法】选择2012年4月至2013年4月本院收治的早期胃癌患者56例，按照随机数字表法随机分为观察组和对照组，每组各28例。对照组采用常规开腹手术进行治疗，观察组采用胃镜联合腹腔镜手术进行治疗。并对两种治疗方法的手术时间、术中出血量、术后肠功能恢复时间、住院时间及术后并发症进行观察和比较。【结果】①观察组在术中出血量、术后肠功能恢复时间、住院时间等方面显著优于对照组（P ＜0．05）；②观察组患者术后并发症，肺部感染、泌尿系炎症、胸腔积液及切口感染情况明显低于对照组（P ＜0．05）。【结论】胃镜联合腹腔镜手术治疗早期胃癌较传统开腹手术而言，可缩短治疗时间、减少痛苦、安全可靠，是治疗早期胃癌的安全可行办法，值得临床推广应用。
【목적】비교위경연합복강경수술여상규개복수술대조기위암치료적림상료효。【방법】선택2012년4월지2013년4월본원수치적조기위암환자56례，안조수궤수자표법수궤분위관찰조화대조조，매조각28례。대조조채용상규개복수술진행치료，관찰조채용위경연합복강경수술진행치료。병대량충치료방법적수술시간、술중출혈량、술후장공능회복시간、주원시간급술후병발증진행관찰화비교。【결과】①관찰조재술중출혈량、술후장공능회복시간、주원시간등방면현저우우대조조（P ＜0．05）；②관찰조환자술후병발증，폐부감염、비뇨계염증、흉강적액급절구감염정황명현저우대조조（P ＜0．05）。【결론】위경연합복강경수술치료조기위암교전통개복수술이언，가축단치료시간、감소통고、안전가고，시치료조기위암적안전가행판법，치득림상추엄응용。
[Obj ective]To compare the clinical effect of gastroscopy combined with laparoscopy vs.tradi-tional laparotomy surgery for the treatment of early gastric cancer.[Methods]Totally 5 6 patients with early gastric cancer in our hospital from April 2012 to April 2013 were chosen and randomly divided into conserva-tion group and control group with 28 patients in each group.The observation group underwent gastroscopy combined with laparoscopy,while the control group underwent traditional laparotomy surgery.The operation time,intraoperative blood loss,postoperative recovery time of intestinal function,hospitalization time and postoperative complications of two groups were observed and compared.[Results]Intraoperative blood loss, postoperative recovery time of intestinal function and hospitalization time in observation group were markedly better than the control group(P <0.05).The postoperative complications such as lung infection,urinary tract inflammation,pleural effusion and wound infection in observation group were obviously lower than those in the control group.[Conclusion]Compared with traditional laparotomy surgery,gastroscopy combined with laparoscopy for the treatment of early gastric cancer can shorten the treatment time and reduce the pain,and is safe and reliable,so it is safe and feasible method.It is worthy of clinical promotion.