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
17期
15-17
,共3页
腹腔镜%胃肿瘤%应激反应
腹腔鏡%胃腫瘤%應激反應
복강경%위종류%응격반응
Laparoscopes%Stomach neoplasms%Stress response
目的 分析比较腹腔镜与开腹胃癌根治术疗效.方法 回顾性分析行腹腔镜和开腹胃癌根治术治疗72例胃癌患者临床资料,其中腹腔镜组38例,开腹组32例,比较两组患者手术时间、切口长度、出血量、清扫淋巴结数目、住院时间及手术前后C反应蛋白水平.结果 所有患者均顺利完成手术,腹腔镜组无中转开腹,无手术死亡.腹腔镜组手术时间长于开腹组,切口长度小于开腹组,出血量少于开腹组,差异有统计学意义(P＜0.05),而清扫淋巴结数目两组比较差异无统计学意义(P＞0.05).腹腔镜组较开腹组排气时间短,下床活动时间早,术后住院时间短,发生并发症情况少,差异有统计学意义(P＜0.05).两组患者术前C反应蛋白比较差异无统计学意义(P＞0.05),而两组术后第1,3,5天C反应蛋白均呈先升后降趋势,腹腔镜组明显低于开腹组[(9.33±0.27) mg/L比(11.29±0.42) mg/L、(7.16±0.18) mg/L比(9.87±0.65)mg/L、(4.38±0.41) mg/L比(6.97±0.51)mg/L],差异有统计学意义(P＜0.05).结论 应用腹腔镜行胃癌根治术,具有安全、效果好、恢复快、对患者刺激小等优点.
目的 分析比較腹腔鏡與開腹胃癌根治術療效.方法 迴顧性分析行腹腔鏡和開腹胃癌根治術治療72例胃癌患者臨床資料,其中腹腔鏡組38例,開腹組32例,比較兩組患者手術時間、切口長度、齣血量、清掃淋巴結數目、住院時間及手術前後C反應蛋白水平.結果 所有患者均順利完成手術,腹腔鏡組無中轉開腹,無手術死亡.腹腔鏡組手術時間長于開腹組,切口長度小于開腹組,齣血量少于開腹組,差異有統計學意義(P＜0.05),而清掃淋巴結數目兩組比較差異無統計學意義(P＞0.05).腹腔鏡組較開腹組排氣時間短,下床活動時間早,術後住院時間短,髮生併髮癥情況少,差異有統計學意義(P＜0.05).兩組患者術前C反應蛋白比較差異無統計學意義(P＞0.05),而兩組術後第1,3,5天C反應蛋白均呈先升後降趨勢,腹腔鏡組明顯低于開腹組[(9.33±0.27) mg/L比(11.29±0.42) mg/L、(7.16±0.18) mg/L比(9.87±0.65)mg/L、(4.38±0.41) mg/L比(6.97±0.51)mg/L],差異有統計學意義(P＜0.05).結論 應用腹腔鏡行胃癌根治術,具有安全、效果好、恢複快、對患者刺激小等優點.
목적 분석비교복강경여개복위암근치술료효.방법 회고성분석행복강경화개복위암근치술치료72례위암환자림상자료,기중복강경조38례,개복조32례,비교량조환자수술시간、절구장도、출혈량、청소림파결수목、주원시간급수술전후C반응단백수평.결과 소유환자균순리완성수술,복강경조무중전개복,무수술사망.복강경조수술시간장우개복조,절구장도소우개복조,출혈량소우개복조,차이유통계학의의(P＜0.05),이청소림파결수목량조비교차이무통계학의의(P＞0.05).복강경조교개복조배기시간단,하상활동시간조,술후주원시간단,발생병발증정황소,차이유통계학의의(P＜0.05).량조환자술전C반응단백비교차이무통계학의의(P＞0.05),이량조술후제1,3,5천C반응단백균정선승후강추세,복강경조명현저우개복조[(9.33±0.27) mg/L비(11.29±0.42) mg/L、(7.16±0.18) mg/L비(9.87±0.65)mg/L、(4.38±0.41) mg/L비(6.97±0.51)mg/L],차이유통계학의의(P＜0.05).결론 응용복강경행위암근치술,구유안전、효과호、회복쾌、대환자자격소등우점.
Objective To investigate the clinical effectiveness of laparoscopic and open radical gastrectomy for gastric cancer patients.Methods Seventy-two gastric cancer patients who underwent laparoscopic or open radical gastrectomy were enrolled in this study.Laparoscopic radical gastrectomy group had 38 cases,open radical gastrectomy group had 32 cases.The operating time,length of incision,bleeding volume during operation,postoperative hospital stay and the level of C reactive protein were compared.Results All patients were performed operation successfully.No patient transferred open operation in laparoscopic radical gastrectomy group.No death because of operation.The patients in laparoscopic radical gastrectomy group took longer operating time,but shorter length of incision,less bleeding volume during operation,there was significant difference (P ＜ 0.05).But the number of clearing lymph nodes between two groups had no significant difference (P ＞ 0.05).Compared with open radical gastrectomy group,the patients in laparoscopic radical gastrectomy group had shorter exhaust time,early out-of-bed activity,shorter postoperative hospital stay,lower rate of complication,there was significant difference (P ＜ 0.05).The level of C reactive protein before operation had no significant difference between two groups (P ＞ 0.05),and level of C reactive protein had the tendency of improve previously and decrease lately.The level of C reactive protein in laparoscopic radical gastrectomy group was significantly lower than that in open radical gastrectomy group at the postoperative 1st,3rd,5th day[(9.33 ± 0.27) mg/L vs.(11.29 ± 0.42) mg/L,(7.16 ± 0.18) mg/L vs.(9.87±0.65) mg/L,(4.38 ±0.41) mg/Lvs.(6.97±0.51) mg/L](P＜0.05).Conclusion Laparoscopic radical gastrectomy is useful in treating gastric cancer for it's advantage of better security,better effectiveness,quicker recover and less trauma.
