首页|3D腹腔镜在胃癌根治术患者中的应用效果

3D腹腔镜在胃癌根治术患者中的应用效果

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目的 探讨3D腹腔镜在胃癌根治术患者中的应用效果.方法 依据术中腹腔镜设备的不同将80例胃癌根治术患者分为研究组(n=40,3D腹腔镜)和对照组(n=40,常规2D腹腔镜),比较两组患者的围手术期指标、并发症发生情况、疼痛情况[视觉模拟评分法(VAS)]、炎症因子指标、生活质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)].结果 研究组患者术中出血量少于对照组,手术时间、首次排气时间、术后卧床时间、术后住院时间均短于对照组,并发症总发生率低于对照组,差异均有统计学意义(P﹤0.05).术后第1天,两组患者VAS评分均高于本组术前(P﹤0.05),研究组VAS评分低于对照组(P﹤0.05);术后第2、3天,两组患者VAS评分均呈下降趋势,研究组患者VAS评分均低于对照组(P﹤0.05).术后第1、2、3天,两组患者C反应蛋白和白细胞介素-6水平均高于本组术前,研究组患者C反应蛋白和白细胞介素-6水平均低于对照组,差异均有统计学意义(P﹤0.05).术后,两组患者WHOQOL-BREF各维度评分均高于本组术前,研究组患者WHOQOL-BREF各维度评分均高于对照组,差异均有统计学意义(P﹤0.05).结论 3D腹腔镜在胃癌根治术患者中的应用效果良好,可以促进患者术后康复,降低并发症发生率和炎症因子指标,缓解术后疼痛感,并且提高患者生活质量.
Application effect of 3D laparoscopy in patients undergoing radical gastrectomy
Objective To investigate the application effect of 3D laparoscopy in patients undergoing radical gastrecto-my.Method A total of 80 gastric cancer patients undergoing radical gastrectomy were divided into the study group(n= 40,3D laparoscopy)and the control group(n=40,conventional 2D laparoscopy)according to the different laparoscopic equipments during operation.The perioperative indexes,complications,pain condition[visual analogue scale(VAS)],in-flammatory factor indexes,and the quality of life[World Health Organization quality of life-BREF(WHOQOL-BREF)]were compared between the two groups.Result The amount of intraoperative blood loss in the study group was less than that in the control group,the operation time,the first exhaust time,the postoperative bed time and the postoperative hospital stay time were shorter than those in the control group,and the total incidence of complications was lower than that in the control group,and the differences were statistically significant(P<0.05).On the 1st day after operation,VAS scores in two groups were higher than those before operation(P<0.05),the VAS score in the study group was higher than that in the control group(P<0.05).On the 2nd and 3rd day after operation,the VAS scores in two groups showed a down-ward trend,and the VAS scores in the study group were lower than those in the control group(P<0.05).On the 1st,2nd,and 3rd day after operation,the C-reactive protein and interleukin-6 levels in two groups were higher than those before operation,the C-reactive protein and interleukin-6 levels in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After operation,the dimensional scores of WHOQOL-BREF in the two groups were higher than those before operation,and the dimensional scores of WHOQOL-BREF in the study group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The 3D laparoscopy in patients undergoing radical gastrectomy of gastric cancer has good application ef-fect,which can promote the recovery of patients after surgery,reduce the incidence of complications and postoperative in-flammatory factors,alleviate postoperative pain,and improve the quality of life.

laparoscopyradical gastrectomyapplication effect

郑伟、谭栋、郑康、梁刚、王增库

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陕西省核工业二一五医院普通外科,陕西 咸阳 712000

腹腔镜 胃癌根治术 应用效果

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(4)
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