| 摘要: |
| ［摘要］ 目的 比较腹腔镜与开腹楔形切除术治疗胃肠间质瘤的临床效果。方法 选取2013-08～2015-07该院收治的50例胃肠间质瘤患者，按照随机数字表法分为对照组和观察组，各25例。对照组采用开腹楔形切除术，观察组采用腹腔镜手术，比较两组手术相关指标、并发症情况及预后相关指标。结果 观察组手术情况优于对照组，差异有统计学意义（P<0.05）；观察组并发症发生率为8.00%，低于对照组的32.00%，差异有统计学意义（P<0.05）；术后随访1年，两组患者复发率及转移率比较差异无统计学意义（P>0.05）。结论 腹腔镜手术较开腹楔形切除术在治疗胃肠间质瘤中具有创伤小、安全性高、患者术后恢复快等优点，疗效显著，有利于促进预后的恢复，对提高患者术后生活质量具有重要的作用，值得临床应用推广。 |
| 关键词: 腹腔镜 开腹楔形切除术 胃肠间质瘤 预后 |
| DOI：10.3969/j.issn.1674-3806.2017.07.16 |
| 分类号:R 656 |
| 基金项目: |
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| Comparison of the clinical effect of laparoscopy and open wedge resection on gastrointestinal stromal tumors |
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YU Qiang
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Department of Surgery, Xinyang Central Hospital, Henan 464000, China
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| Abstract: |
| ［Abstract］ Objective To compare the clinical effect of laparoscopy and open wedge resection on the treatment of gastrointestinal stromal tumors.Methods 50 patients with gastrointestinal stromal tumors in our hospital from August 2013 to July 2015 were randomly divided into two groups, with 25 cases in each group. The control group was treated with open wedge resection, and the observation group was treated with laparoscopic surgery. The related data, complications and prognosis were compared between the two groups.Results The results of the operation in the observation group were better than those in the control group(P<0.05). The complication rate of the observation group(8.00%) was significantly lower than that of the control group(32.00%)(P<0.05). There were no significant differences in the recurrence rate and metastasis rate between the two groups(P>0.05).Conclusion Laparoscopy is more effective and safer than open wedge resection in the treatment of gastrointestinal stromal tumors. |
| Key words: Laparoscopy Open wedge resection Gastrointestinal stromal tumor Prognosis |
