中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
19期
2940-2941
,共2页
腹腔镜检查%胃癌根治术%胃肿瘤%老年人
腹腔鏡檢查%胃癌根治術%胃腫瘤%老年人
복강경검사%위암근치술%위종류%노년인
Laparoscopy%Radical gastrectomy%Stomach neoplasms%Aged
目的：研究腹腔镜辅助胃癌根治术在老年患者中的应用效果。方法选取114例老年胃癌患者，按数字表法随机分为观察组和对照组，观察组55例行腹腔镜辅助胃癌根治术，对照组59例行传统开腹胃癌根治术，对比两种术式手术时间、术中出血量、术后下床时间、术后住院时间，对比两组治疗效果。结果观察组手术时间、术中出血量以及术后下床、术后住院时间均优于对照组（ t＝12．195、8．562、8．072、10．252，均P＜0．05）；观察组显效18例，有效33例，无效4例，总有效率为92．7％；对照组显效21例，有效34例，无效4例，总有效率为93．2％，两组总有效率差异无统计学意义（χ2＝0．069，P＞0．05）。结论腹腔镜辅助胃癌根治术与传统开腹胃癌根治术疗效接近，腹腔镜辅助胃癌根治术具有微创优点，患者恢复快，尤其适用于老年胃癌患者。
目的：研究腹腔鏡輔助胃癌根治術在老年患者中的應用效果。方法選取114例老年胃癌患者，按數字錶法隨機分為觀察組和對照組，觀察組55例行腹腔鏡輔助胃癌根治術，對照組59例行傳統開腹胃癌根治術，對比兩種術式手術時間、術中齣血量、術後下床時間、術後住院時間，對比兩組治療效果。結果觀察組手術時間、術中齣血量以及術後下床、術後住院時間均優于對照組（ t＝12．195、8．562、8．072、10．252，均P＜0．05）；觀察組顯效18例，有效33例，無效4例，總有效率為92．7％；對照組顯效21例，有效34例，無效4例，總有效率為93．2％，兩組總有效率差異無統計學意義（χ2＝0．069，P＞0．05）。結論腹腔鏡輔助胃癌根治術與傳統開腹胃癌根治術療效接近，腹腔鏡輔助胃癌根治術具有微創優點，患者恢複快，尤其適用于老年胃癌患者。
목적：연구복강경보조위암근치술재노년환자중적응용효과。방법선취114례노년위암환자，안수자표법수궤분위관찰조화대조조，관찰조55례행복강경보조위암근치술，대조조59례행전통개복위암근치술，대비량충술식수술시간、술중출혈량、술후하상시간、술후주원시간，대비량조치료효과。결과관찰조수술시간、술중출혈량이급술후하상、술후주원시간균우우대조조（ t＝12．195、8．562、8．072、10．252，균P＜0．05）；관찰조현효18례，유효33례，무효4례，총유효솔위92．7％；대조조현효21례，유효34례，무효4례，총유효솔위93．2％，량조총유효솔차이무통계학의의（χ2＝0．069，P＞0．05）。결론복강경보조위암근치술여전통개복위암근치술료효접근，복강경보조위암근치술구유미창우점，환자회복쾌，우기괄용우노년위암환자。
Objective To study the application value of laparoscopic-assisted radical gastrectomy in elderly patients.Methods 114 elderly patients with gastric cancer were randomly divided into observation group and control group.55 patients in the observation group received laparoscopic-assisted radical gastrectomy ,59 patients in the con-trol group received traditional open radical gastrectomy .The operation time,blood loss,postoperative ambulation time, postoperative hospital stay and other information were compared .Results The operative time ,blood loss and postop-erative ambulation ,postoperative hospital stay in the observation group were significantly better than those in the con -trol group(t=12.195,8.562,8.072,10.252,all P<0.05).In the observation group,18 patients had marked effect, effective in 33 cases,ineffective in 4 cases,the total effective rate was 92.7%.In the control group,21 cases had marked effect,effective in 34 cases,ineffective in 4 cases,the total effective rate was 93.2%,the difference between the two groups was not significant (χ2 =0.069,P>0.05).Conclusion The efficacy of laparoscopic-assisted radical gastrectomy is similar with traditional open radical gastrectomy ,and laparoscopic-assisted radicalgastrectomy has ad-vantages of minimally invasive ,faster recovery ,especially suitable for elderly patients with gastric cancer .
