[1]孙 锴.双镜联合微创技术在胃间质瘤治疗中的效果[J].医学信息,2022,35(22):96-98,102.[doi:10.3969/j.issn.1006-1959.2022.22.019]
　SUN Kai.Effect of Double-mirror Combined Minimally Invasive Technique in Treatment of Gastric Stromal Tumor[J].Journal of Medical Information,2022,35(22):96-98,102.[doi:10.3969/j.issn.1006-1959.2022.22.019]
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双镜联合微创技术在胃间质瘤治疗中的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年22期
页码:
96-98,102
栏目:
论著
出版日期:
2022-11-15

文章信息/Info

Title:
Effect of Double-mirror Combined Minimally Invasive Technique in Treatment of Gastric Stromal Tumor
文章编号:
1006-1959（2022）22-0096-04
作者:
孙 锴
（佳木斯市中心医院普外二科，黑龙江 佳木斯 154002）
Author(s):
SUN Kai
(The Second Department of General Surgery,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)
关键词:
胃间质瘤; 腹腔镜楔形切除术; 内镜; 瘤体破裂; 凝血功能
Keywords:
Gastric stromal tumors; Laparoscopic wedge resection; Endoscopy; Tumor rupture; Coagulation function
分类号:
R657.4
DOI:
10.3969/j.issn.1006-1959.2022.22.019
文献标志码:
A
摘要:
目的 评价双镜联合微创技术在胃间质瘤（GSTs）治疗中的临床效果。方法 选取2020年1月-2021年10月佳木斯市中心医院收治的40例GSTs患者作为研究对象，采用随机数字表法分为对照组与观察组，每组20例。对照组行腹腔镜治疗，观察组行双镜联合微创治疗，比较两组围术期指标（手术时间、术中出血量、切除成功率、中转开腹率）、术后恢复情况（术后排气时间、术后下床时间、术后住院时间）、凝血功能[凝血酶原时间（PT）、活化部分凝血酶原时间（aPTT）、纤维蛋白原（Fbg）]、手术并发症。结果 观察组手术时间短于对照组，术中出血量少于对照组，且中转开腹率小于对照组（P＜0.05），而两组切除成功率比较，差异无统计学意义（P＞0.05）。观察组术后排气时间、术后下床时间、术后住院时间短于对照组（P＜0.05）。两组术后PT、aPTT水平低于术前，Fbg高于术前，但观察组PT、aPTT高于对照组，Fbg低于对照组（P＜0.05）。观察组手术并发症发生率为5.00%，低于对照组的25.00%（P＜0.05）。结论 双镜联合微创技术在GSTs治疗中具有手术时间短、术中出血少、术后恢复快，且血栓形成风险低、手术并发症少等优势，值得临床应用。
Abstract:
Objective To evaluate the clinical effect of double-mirror combined with minimally invasive technique in the treatment of gastric stromal tumors (GSTs).Methods A total of 40 patients with GSTs admitted to Jiamusi Central Hospital from January 2020 to October 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 20 cases in each group. The control group was treated with laparoscopy, and the observation group was treated with double endoscopy combined with minimally invasive treatment. The perioperative indexes (operation time, intraoperative blood loss, resection success rate, conversion to laparotomy rate), postoperative recovery (postoperative exhaust time, postoperative ambulation time, postoperative hospital stay), coagulation function [prothrombin time (PT), activated partial prothrombin time (aPTT), fibrinogen (Fbg)] and surgical complications were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group, the intraoperative blood loss was less than that of the control group, and the conversion rate was less than that of the control group (P<0.05), while there was no significant difference in the success rate of resection between the two groups (P>0.05). The postoperative exhaust time, postoperative ambulation time and postoperative hospital stay in the observation group were shorter than those in the control group (P<0.05). The levels of PT and aPTT in the two groups after operation were lower than those before operation, and Fbg was higher than that before operation, but the PT and aPTT in the observation group were higher than those in the control group, and Fbg was lower than that in the control group (P<0.05). The incidence of surgical complications in the observation group was 5.00%, which was lower than 25.00% in the control group (P<0.05).Conclusion Double-mirror combined with minimally invasive technique in the treatment of GSTs has the advantages of short operation time, less intraoperative blood loss, rapid postoperative recovery, low risk of thrombosis and less surgical complications.

参考文献/References:

[1]李素琴,李夏,朱晓芸,等.四种术式治疗胃肠道间质瘤的临床对比研究[J].胃肠病学和肝病学杂志,2019,28(4):400-404.[2]贾向乾,韩博.不同手术对胃肠间质瘤的疗效及患者围术期指标及并发症的影响观察[J].贵州医药,2021,45(1):83-84.[3]李亚平,朱明杰,蒋鸿元.腹腔镜手术治疗胃肠道间质瘤的效果及预后分析[J].解放军医药杂志,2020,32(8):70-73,78.[4]王显飞,舒霞,王小波,等.内镜下黏膜剥离术与腹腔镜术治疗胃间质瘤的临床对比研究[J].现代消化及介入诊疗,2020,25(8):1025-1030.[5]黄克华,袁胜春,张震.内镜全层切除术内镜黏膜下挖除术及腹腔镜手术治疗胃固有肌层间质瘤效果以及对切除率及并发症的影响[J].河北医学,2021,27(6):986-990.[6]徐东楚,郭云虎,杨位轩,等.双镜联合切除胃间质瘤的手术效果分析[J].腹腔镜外科杂志,2017,22(1):63-65.[7]马春涛,张海玲,王永栋.胃镜联合腹腔镜治疗胃间质瘤的效果观察[J].海南医学院学报,2020,26(18):1424-1427.[8]曹晖,高志冬,何裕隆,等.胃肠间质瘤规范化外科治疗中国专家共识(2018版)[J].中国实用外科杂志,2018,38(9):965-973.[9]董俊锋,赵伟.开腹术与双镜切除术治疗不同部位胃间质瘤的疗效对比[J].实用癌症杂志,2018,33(12):2030-2033.[10]汪灵泉,徐玮,姚学新,等.复发或转移胃肠间质瘤再次手术患者的临床特点及预后因素分析[J].中华胃肠外科杂志,2018,21(11):1274-1279.[11]Judson I,Bulusu R,Seddon B,et al.UK clinical practice guidelines for the management of gastrointestinal stromal tumours (GIST)[J].Clinical Sarcoma Research,2017,7(1):319-325.[12]张辉,赵立志.胃间质瘤双镜联合技术的临床应用[J].现代肿瘤医学,2016,24(19):3097-3101.[13]韩刚,龚航军,王以东,等.腹腔镜联合胃镜治疗早期胃间质瘤的疗效观察[J].中国中西医结合外科杂志,2018,24(3):263-266.[14]马宝庆,薛建,苏英锋.腹腔镜联合胃镜与开腹手术治疗胃间质瘤临床比较研究[J].中国普外基础与临床杂志,2016,23(4):434-438.[15]肖惠,吴艳烈.腹腔镜、胃镜联合手术在胃间质瘤临床治疗中的应用[J].临床外科杂志,2017,25(12):902-904.[16]曹磊,王宏磊,郑昆明,等.不损伤黏膜层的腹腔镜内镜联合剥除胃小间质瘤初步研究[J].中华消化内镜杂志,2017,34(9):649-652.[17]房群,刘海燕.胃镜联合腹腔镜微创治疗胃间质瘤的疗效初步评估[J].中国医药导刊,2017,19(7):659-660.[18]刘文婕,戴伟杰,刘莉,等.162例胃间质瘤内镜下治疗的临床疗效分析[J].中国微创外科杂志,2017,17(4):298-301,306.[19]王金申,李宾,赵淑磊,等.双镜联合微创技术在胃间质瘤治疗中的临床效果评价[J].中国现代普通外科进展,2020,23(5):376-378.[20]Maeda Y,Shinohara T,Katayama T,et al.Gastrointestinal Stromal Tumor of the Stomach with an Abscess Excised by Laparoscopic Surgery[J].Case Rep Gastroenterol,2016,10(2):399-405.[21]李建国,陈晓娇,文坤明,等.腹腔镜经胃切除术与腹腔镜近端胃切除术治疗贲门胃肠道间质瘤疗效对比[J].实用医学杂志,2016,32(22):3798-3799.[22]张震,李永翔,周玉良.双镜联合技术在胃间质瘤中的应用效果[J].安徽医学,2018,39(7):778-781.[23]徐大勇,胡宪明,尹清华,等.腹腔镜微创治疗胃部胃肠间质瘤的近期临床效果研究[J].中国内镜杂志,2016,22(7):70-73.[24]张涛,肖玲,马冲.双镜联合治疗老年胃间质瘤的临床疗效[J].中国老年学杂志,2015,35(19):5543-5545.

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更新日期/Last Update: 1900-01-01