【摘要】 目的探讨胃良性肿瘤行腹腔镜下胃局部切除术治疗的预后。方法于2015年1月—2018年3月该院以27例腹腔镜下胃局部切除术患者为观察组,开腹手术27例为对照组。比较手术结果。结果观察组胃良性肿瘤疗效25例(92.59%)高于对照组20例(74.07%)(χ~2=9.615,P<0.05);观察组平均出血量、平均手术和住院时间(51.02±2.12)mL、(90.01±12.61)min、(6.27±1.21)d优于对照组,(t=8.221、9.311、5.722,P<0.05);手术后观察组简明健康SF-36评分(84.24±6.12)分高于对照组(63.34±5.11)(t=11.442,P<0.05)。观察组吻合口瘘、胃排空障碍等并发症率2(7.41%)低于对照组7(25.93%)(χ~2=3.920 0,P<0.05)。结论胃良性肿瘤患者行腹腔镜下胃局部切除术疗效肯定。更多还原

【Abstract】 Objective To investigate the prognosis of laparoscopic gastrectomy for benign gastric tumors. Methods 27 patients underwent laparoscopic gastrectomy were observed in the observation group, and 27 patients underwent open surgery in the control group. Compare the surgical results. Results The therapeutic effect of benign gastric tumors in the observation group was 25 cases(92.59%) higher than that in the control group 20 cases(74.07%)(χ~2=9.615, P<0.05).The mean bleeding volume, average surgery and hospitalization time in the observation group were(51.02±2.12)mL,(90.01±12.61)min,(6.27±1.21)d was better than the control group(t=8.221, 9.311, 5.722, P<0.05); the postoperative SF-36 score of(84.24±6.12)points in the observation group was higher than that in the control group(63.34±5.11)points(t=11.442,P<0.05). The complication rate of anastomotic leakage and gastric emptying disorder in the observation group was 2 cases(7.41%) lower than that in the control group 7 cases(25.93%)(χ~2=3.9200, P<0.05). Conclusion Laparoscopic local gastrectomy in patients with benign gastric tumors is effective.更多还原