腹腔镜联合胃镜行胃间质瘤切除术对胃间质瘤患者术后康复及并发症的影响分析

　　摘   要：目的  研究腹腔镜联合胃镜行胃间质瘤切除术对胃间质瘤患者术后康复及并发症的影响。方法  选取我院胃间质瘤患者52例，按手術方式不同分组，各26例。对照组给予开腹胃间质瘤切除术治疗，观察组给予腹腔镜联合胃镜行胃间质瘤切除术治疗，比较两组患者手术时长、失血量，术后排气时间、引流管拔除时间、住院天数及并发症发生情况。结果  观察组手术时长、失血量、排气时间、拔除引流管时间低于对照组，住院天数少于对照组，差异有统计学意义（P<0.05）。观察组并发症发生率为3.85%，低于对照组的30.77%，差异有统计学意义（P<0.05）。结论  腹腔镜联合胃镜行胃间质瘤切除术应用于胃间质瘤患者可减少术中失血量，缩短手术用时、排气时间、引流管拔除时间，减少住院天数，且并发症较少，值得应用推广。
　　关键词：胃间质瘤;胃间质瘤切除术;腹腔镜;胃镜
　　中图分类号：R735.2                                  文献标识码：A                                DOI：10.3969/j.issn.1006-1959.2018.05.039
　　文章编号：1006-1959（2018）05-0114-02
　　Effect of Laparoscopy Combined with Gastroscopy for Gastric Stromal Tumor Resection on Postoperative Rehabilitation and Complications of Gastric Stromal Tumor Patients
　　LI Hua-qiao
　　（Department of General Surgery，Changning County Hospital of Traditional Chinese Medicine，Changning 644300，Sichuan，China）
　　Abstract：Objective  To study the effects of combined laparoscopic endoscopic resection for gastric stromal tumor of gastric stromal tumor patients in rehabilitation and complications.Methods  52 cases of gastric stromal tumor patients in our hospital，according to the different methods of operation group，26 cases in each group.The control group was given laparoscopic resection of gastric stromal tumor treatment，observation group given the combined laparoscopic endoscopic resection for gastric stromal tumor treatment，we compared two groups of patients with operation time，blood loss，postoperative exhaust time，extubation time，hospitalization time and complications.Results  The operation time，blood loss，exhaust time，extubation time of drainage tube in the observation group were lower than those in the control group，and the length of hospitalization was less than that in the control group，the difference was statistically significant（P<0.05）.The incidence of complications in the observation group was 3.85%，which was significantly lower than that in the control group 30.77%，the difference was statistically significant（P<0.05）.Conclusion  Laparoscopy combined with gastroscopy for gastric stromal tumor resection can reduce intraoperative blood loss in patients with gastric stromal tumors.It can shorten the operation time，exhaust time，drainage tube removal time，reduce the length of hospital stay，and have fewer complications，so it is worth popularizing.

相关热词搜索：间质 胃镜 并发症 术后 康复