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腹腔镜手术治疗胃肠道间质瘤的效果及预后情况

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目的:探讨腹腔镜手术治疗胃肠道间质瘤的效果及预后情况。方法:从 2020 年 4 月—2022 年 4 月于张家港市第一人民医院收治的胃肠道间质瘤患者中随机抽选 100 例作为观察对象,根据手术方法差异性将患者分为观察组(腹腔镜手术)和对照组(传统开腹手术),各 50 例。比较两组手术效果和预后情况。结果:观察组术中出血量少于对照组,手术时间和切口长度均短于对照组,差异有统计学意义(P<0。05);观察组肛门排气时间、引流管放置时间、胃管放置时间、饮食恢复时间及住院天数较对照组短,差异有统计学意义(P<0。05);观察组并发症发生率低于对照组,差异有统计学意义(P<0。05);两组总体生存率、无复发生存率比较,差异无统计学意义(P>0。05)。结论:腹腔镜手术治疗胃肠道间质瘤患者,不仅可优化围手术期指标,降低并发症发生率和减少手术出血量,还可加快出院进度,预后评估良好。
Effect and Prognosis of Laparoscopic Surgery in the Treatment of Gastrointestinal Stromal Tumors
Objective:To investigate the effect and prognosis of laparoscopic surgery in the treatment of gastrointestinal stromal tumors.Method:A total of 100 patients with gastrointestinal stromal tumors who admitted to Zhangjiagang First People's Hospital from April 2020 to April 2022 were randomly selected as observation objects,the patients were divided into the observation group(laparoscopic surgery)and the control group(traditional open surgery)according to the difference of surgical methods,50 cases in each group.The surgical effect and prognosis of two groups were compared.Result:The intraoperative blood loss in the observation group was less than that in the control group,and the operation time and incision length were shorter than those in the control group,the differences were statistically significant(P<0.05).The anal exhaust time,drainage tube placement time,gastric tube placement time,diet recovery time and hospitalization days in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There were no significant differences in the overall survival rate and recurrence-free survival rate between two groups(P>0.05).Conclusion:Laparoscopic surgery for patients with gastrointestinal stromal tumors can not only optimize perioperative indicators,reduce the incidence of complications and reduce the amount of surgical bleeding,but also speed up the progress of discharge,and the prognosis is good.

Laparoscopic surgeryGastrointestinal stromal tumorsPerioperative indicatorsSafetyPrognosis

顾益洲、陈尧

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张家港市第一人民医院 江苏 张家港 215600

腹腔镜手术 胃肠道间质瘤 围手术期指标 安全性 预后

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(12)
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