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全腹腔镜全胃切除手术治疗胃癌的临床疗效研究
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Clinical Efficacy of Total Laparoscopic Total Gastrectomy in the Treatment of Gastric Cancer
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    摘要:

    目的 讨论全腹腔镜全胃切除手术治疗胃癌的临床疗效。方法 选取 2018 年 5 月至 2019 年 6 月彭水苗族土家族自治县人民医院收治 110例胃癌患者为研究对象,按照随机数表法分为试验组和对照组,每组 55例。试验组患者实施全腹腔镜全胃切除手术治疗,对照组患者使用腹腔镜辅助手术治疗。对比分析两组凝血功能指标、疼痛评分及临床疗效。结果? 两组患者的疼痛评分、手术中失血量、手术时间、手术中切口长度、淋巴结清除数目、肛门排气时间、下床活动时间、住院时间以及进食流质时间相比,差异有统计学意义(P < 0.05)。手术后的两组患者的活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)指标高于手术前,且试验组略高于对照组,但组间比较差异无统计学意义(P > 0.05);试验组 D- 二聚体(D-D)水平高于对照组,差异有统计学意义(P < 0.05)。结论? 在胃癌患者中使用全腹腔镜全胃切除手术治疗可以改善患者疼痛评分,降低手术时间,减少手术失血量,提高淋巴结清除数目,缩短下床时间、住院时间和进食流质时间,改善凝血功能。

    Abstract:

    Objective To discuss the clinical efficacy of total laparoscopic total gastrectomy in the treatment of gastric cancer. Methods? A total of 110 patients with gastric cancer admitted to People's Hospital of Pengshui Miao Tujia Autonomous County from May 2018 to June 2019 were selected and divided into experimental group and control group according to the random number table method,with 55 patients in each group. The experimental group was treated with total laparoscopic total gastrectomy and the control group was treated with laparoscopic-assisted total gastrectomy. The coagulation function index,pain score and clinical effect were compared and analyzed.Results? The pain score,blood loss,operation time,incision length,lymph node dissection,anal exhaust time,out of bed time,hospitalization time and fluid consumption time were significantly different between the two groups(P<0.05). The activated partial thromboplastin time(APTT)and fibrinogen(FIB)indexes of the two groups after surgery were higher than those before surgery,and the test group was slightly higher than the control group,but there was no statistically significant difference between the groups(P>0.05);the level of D-dimer(D-D)in the test group was higher than that in the control group,and the difference was statistically significant(P <0.05).Conclusion? Total laparoscopic total gastrectomy can improve the pain score,reduce the operation time,reduce the blood loss,increase the number of lymph node dissection,reduce the time to get out of bed,shorten the hospital stay,eat fluids,and improve the coagulation function in patients with gastric cancer.

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  • 在线发布日期: 2021-09-14
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