腹腔鏡聯(lián)合胃鏡行胃間質(zhì)瘤切除術(shù)對胃間質(zhì)瘤患者術(shù)后康復(fù)及并發(fā)癥的影響分析

　　摘   要：目的  研究腹腔鏡聯(lián)合胃鏡行胃間質(zhì)瘤切除術(shù)對胃間質(zhì)瘤患者術(shù)后康復(fù)及并發(fā)癥的影響。方法  選取我院胃間質(zhì)瘤患者52例，按手術(shù)方式不同分組，各26例。對照組給予開腹胃間質(zhì)瘤切除術(shù)治療，觀察組給予腹腔鏡聯(lián)合胃鏡行胃間質(zhì)瘤切除術(shù)治療，比較兩組患者手術(shù)時長、失血量，術(shù)后排氣時間、引流管拔除時間、住院天數(shù)及并發(fā)癥發(fā)生情況。結(jié)果  觀察組手術(shù)時長、失血量、排氣時間、拔除引流管時間低于對照組，住院天數(shù)少于對照組，差異有統(tǒng)計學(xué)意義（P<0.05）。觀察組并發(fā)癥發(fā)生率為3.85%，低于對照組的30.77%，差異有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論  腹腔鏡聯(lián)合胃鏡行胃間質(zhì)瘤切除術(shù)應(yīng)用于胃間質(zhì)瘤患者可減少術(shù)中失血量，縮短手術(shù)用時、排氣時間、引流管拔除時間，減少住院天數(shù)，且并發(fā)癥較少，值得應(yīng)用推廣。
　　關(guān)鍵詞：胃間質(zhì)瘤;胃間質(zhì)瘤切除術(shù);腹腔鏡;胃鏡
　　中圖分類號：R735.2                                  文獻(xiàn)標(biāo)識碼：A                                DOI：10.3969/j.issn.1006-1959.2018.05.039
　　文章編號：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.

相關(guān)熱詞搜索：間質(zhì) 胃鏡 并發(fā)癥 術(shù)后 康復(fù)