CAJ | 학술논문

目的：探究腹腔镜下治疗胃间叶源性肿瘤的临床效果。方法搜集本院消化科2014年2月～2015年2月诊治的46例胃间叶源性肿瘤的病患，根据手术方式不同分为两组，观察组采用腹腔镜手术治疗，对照组采用传统开腹手术治疗，观察并对比两组病患的治疗效果。结果（1）观察组病患的治疗好转率91.3%（21/23）显著高于对照组82.6%（19/23），P <0.05；（2）两组治疗效果比较，观察组病患的切口长度、术中出血量、手术时间、肛门排气时间、进食时间和住院时间显著好于对照组，P <0.05；（3）对比并发症的发生率，观察组8.7%显著低于对照组7.4%，P <0.05。结论腹腔镜下治疗胃间叶源性肿瘤的临床效果显著，能够有效提高患者的治疗效果，缩短治疗时间，降低并发症的发生，临床价值高。
목적：탐구복강경하치료위간협원성종류적림상효과。방법수집본원소화과2014년2월～2015년2월진치적46례위간협원성종류적병환，근거수술방식불동분위량조，관찰조채용복강경수술치료，대조조채용전통개복수술치료，관찰병대비량조병환적치료효과。결과（1）관찰조병환적치료호전솔91.3%（21/23）현저고우대조조82.6%（19/23），P <0.05；（2）량조치료효과비교，관찰조병환적절구장도、술중출혈량、수술시간、항문배기시간、진식시간화주원시간현저호우대조조，P <0.05；（3）대비병발증적발생솔，관찰조8.7%현저저우대조조7.4%，P <0.05。결론복강경하치료위간협원성종류적림상효과현저，능구유효제고환자적치료효과，축단치료시간，강저병발증적발생，림상개치고。
Objective Clinical effect of laparoscopic surgery in treatment of gastric mesenchymal tumor is to be studied.Methods Choose 46 patients of gastric mesenchymal tumor who are treated in Gastroenterology Department of hospital from February 2014 to February 2015 and separate them into two groups according to different treatment methods; patients in study group are given laparoscopic surgery treatment and patients in control group are given laparotomy surgery treatment, then compare patients’ treatment effects between two groups. Results (1) treatment improvement rate in study group is 91.3% (21/23), which is much higher than 82.6% (19/23) in control group,P < 0.05; (2) patients’ incision length and operation hemorrhage, operation time and anal exhaust time, diet time and hospitalization days in study group are much more favorable than counterparts in control group, P < 0.05; (3) complication incidence in study group is 7.4%, which is quite less than 8.7% in control group,P< 0.05.Conclusion Laparoscopic surgery is of efficacy in treatment of gastric mesenchymal tumor; it is conducive to decreasing treatment time and reducing complication incidence; thus, such a treatment method is of clinical application value.