CAJ | 학술논문

目的：探讨超声刀在早期胃癌根Ⅱ式合并小弯次全切除术中的临床应用效果。方法选取2011年7月~2012年12月入住我院的早期胃癌的40例患者，将其分为观察组和对照组。观察手术出血量、手术时间、继发出血情况、术后3d总引流量、清扫淋巴结数量、术后排气时间。结果观察组手术平均出血量、手术时间、术后3d总平均引流量、清扫淋巴结平均数量显著低于对照组，差异有统计学意义(P<0.05)；且两组继发出血例数相比差异有统计学意义(P<0.05)；术后排气情况差异有统计学意义(P<0.05)。结论早期胃癌根Ⅱ式合并小弯次全切除术中使用超声刀具有积极的临床意义，值得推广。
목적：탐토초성도재조기위암근Ⅱ식합병소만차전절제술중적림상응용효과。방법선취2011년7월~2012년12월입주아원적조기위암적40례환자，장기분위관찰조화대조조。관찰수술출혈량、수술시간、계발출혈정황、술후3d총인류량、청소림파결수량、술후배기시간。결과관찰조수술평균출혈량、수술시간、술후3d총평균인류량、청소림파결평균수량현저저우대조조，차이유통계학의의(P<0.05)；차량조계발출혈례수상비차이유통계학의의(P<0.05)；술후배기정황차이유통계학의의(P<0.05)。결론조기위암근Ⅱ식합병소만차전절제술중사용초성도구유적겁적림상의의，치득추엄。
Objective To investigate the clinical application effects of ultrasound knife in the type II radical surgery combined with small curve subtotal excision of early gastric cancer. Methods Forty patients with early gastric cancer who had been hospitalized in our hospital from July 2011 to December 2012 were divided into the observation group and the control group. Intraoperative bleeding amount, surgical time, secondary bleeding situation, postoperative 3-day total drainage volume, number of cleared lymph nodes and postoperative exhaust time were observed. Results The aver-age intraoperative bleeding amount, surgical time, postoperative 3-day average total drainage volume and average num-ber of cleared lymph nodes of the observation group were significantly lower than those of the control group, with sig-nificant differences(P<0.05). The two groups were significantly different in the secondary bleeding situation(P<0.05) and the postoperative exhaust situation(P<0.05). Conclusion The application of ultrasound knife in the Type II radical surgery combined with small curve subtotal excision of early gastric cancer has positive clinical significance and is worthy of promotion.