腹腔镜与胃镜联合用于胃及十二指肠良性肿瘤的临床疗效及安全性研究

摘要

目的:分析腹腔镜联合胃镜定位用于胃及十二指肠良性肿瘤手术治疗的临床效果和安全性.方法:选取47例胃及十二指肠良性肿瘤患者作为研究对象,其中仅采用腹腔镜治疗32例,另外1 5例患者腹腔镜治疗难以定位,采用腹腔镜联合胃镜进行辅助定位.结果:联合组患者手术时间、出血量、住院时间、中转经腹手术率以及术后并发症发生率均低于腹腔镜组,差异均有统计学意义(P＜0.05).所有患者均跟踪随访6～18个月,联合组无复发,腹腔镜组7例复发,两组复发率差异有统计学意义(x 2=0.049,P＜0.05).结论:采用腹腔镜联合胃镜治疗胃及十二指肠良胜肿瘤时可准确而迅速定位,明显缩短了手术的时间、降低了手术造成的创伤、并且具有术后疼痛较轻、恢复较快等优势,具有较好的临床应用价值.%Objective:To analyze the clinical effect and safety of surgical operation in treating benign tumor of the stomach and duodenum by laparoscopic combined gastroscope positioning.Methods:47 cases of stomach and duodenum patients with benign tumorour in the hospital from September 2013 to December 2015 were chosen,32 cases were only used laparoscopy to treat gastric and duodenal benign tumor,the other 15 patients were difficult to locate by laparoscopy.Results:The operation time,blood loss,length of hospital stay,the rate of conversion to abdominal surgery and the incidence of postoperative complications were lower in the combined group than in the laparoscopic group,the difference was statistically significant(P＜0.05).All patients were followed up for 6～18 months,no recurrence occurred in the combined group,7 cases of recurrence in the laparoscopic group,the recurrence rate of the comparison between the two groups,the difference was statistically significant (x 2=0.049,P＜0.05).Conclusion:The laparoscopic combined gastroscope to treat gastric and duodenal tumor can be accurately and quickly locate,significantly shorten the operation time,reduces the operation caused by trauma,and has the advantage of less postoperative pain and recover rapidly,which has good clinical application value.