[1]冯福明 冉思邈 柳琳琳.腹腔镜与传统开腹手术在胃癌患者中的临床观察[J].大众科技,2018,20(07):72-74.
　Clinical Observation of Laparoscopic Surgery and Open Surgery in the Patients with Stomach Carcinoma[J].Popular Science & Technology,2018,20(07):72-74.
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腹腔镜与传统开腹手术在胃癌患者中的临床观察()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
20
期数:
2018年07
页码:
72-74
栏目:
医药与卫生
出版日期:
2018-07-20

文章信息/Info

Title:
Clinical Observation of Laparoscopic Surgery and Open Surgery in the Patients with Stomach Carcinoma
作者:
冯福明1 冉思邈2 柳琳琳2
（1.广西中医药大学第一附属医院，广西 南宁 530023；2.广西中医药大学，广西 南宁 530200）
关键词:
胃癌; 腹腔镜手术; 开腹手术; 临床疗效
Keywords:
stomach carcinoma;  laparoscopic surgery;  open surgery;  clinical efficacy
文献标志码:
A
摘要:
目的：比较胃癌患者选取腹腔镜手术与开腹手术治疗的临床疗效。方法：研究的对象是来自广西中医药大学第一附属医院2015 年8 月至2017 年8 月住院治疗的70 例患者，随机将70 例患者分成两组，对照组35 例，均选择传统开腹手术的方式，观察组35 例，均采用腹腔镜的手术方式。对比两组患者手术后临床效果。结果：观察组在手术的时间、手术中的输血量、住院的总时间、手术治疗后胃肠道功能恢复所需要时间、止痛药物运用的次数及并发症的发生率等方面，均低于对照组，差异具有统计学意义（P＜0.05）。结论：在胃癌的治疗中，腹腔镜手术与传统开腹手术比较，具有创伤较小、手术中出血总量少、手术的风险低、术后恢复较快，且并发症少等优势，预后较好，在临床中有推广的价值。
Abstract:
Objective: To compare the clinical efficacy of laparoscopic surgery and open surgery for gastric cancer. Methods: The study object was 70 patients with stomach carcinoma hospitalized in the First Affiliated Hospital of Guangxi University of Chinese Medicine from August, 2015 to August, 2017, which was randomly divided into two groups, 35 cases in the control group treated with traditional open surgery and the others in the observation group treated with laparoscopic surgery. The clinical efficacies of two groups were compared. Results: The operation time, blood transfusions amount during operation, hospitalization time, gastro-enteric function recovery time after treatment, use times of relieving pain and incidence rate of complication in the observation group is lower than those in the control group, the difference is statistically significance (P＜0.05). Conclusion: In the treatment of gastric cancer, compared with the traditional laparotomy, laparoscopic surgery has the advantages of fewer traumas, less bleeding in the operation, low risk of operation, faster recovery after operation, fewer complications and so on. The prognosis of laparoscopic surgery is better, and it has a value of popularization in clinical practice.

参考文献/References:

[1] WS316-2010,胃癌诊断标准[S].北京:中国标准出版社, 2010. [2] 张昉,陈雅敏,荆超.改良DCF 方案与FOLFOX 4 方案治疗晚期胃癌的临床疗效[J].临床肿瘤学杂志,2014(3):231,4. [3] Ferlay J,Soerjomataram I,Dikshit R,et al.Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012[J].International Journal of Cancer,2015,136(5):E359-E386. [4] Chen WQ,Zheng RS,Baade PD,et al.Cancer statistics in China,2015[J].CA:a Cancer Journal for Clinicians, 2016,66(2):115-132. [5] 张衍胜,高翔宇.腹腔镜辅助全胃切除术与开腹全胃切除术治疗胃癌的疗效及早期预后比较[J].中国普通外科杂志,2014,23(10):1447,9. [6] Topol M,Maslon A The problem of direct lymph drainage of the bronchopulmonary segments into the mediastinal and hilar lymph nodes[J].Clinical Anatomy,2010,22(4): 509-516.

相似文献/References:

[1]冯福明 吕建林 冉思邈.中西医结合治疗胃癌的研究进展[J].大众科技,2018,20(05):74.
　Research progress of the treatment of gastric cancer through the integration oftraditional Chinese medicine and western medicine[J].Popular Science & Technology,2018,20(07):74.
[2]蒋灿灿　周淑萍　陈紫君　盛晓曼.关于胃癌相关非侵入性生物标志物的研究进展[J].大众科技,2023,25(3):112.
　Research Progress of Non-Invasive Biomarkers Related to Gastric Cancer[J].Popular Science & Technology,2023,25(07):112.

备注/Memo

备注/Memo:
【收稿日期】2018-05-03 【基金项目】广西壮族自治区卫生和计划生育委员会课题 “海珠益肝化纤方对大鼠肝组织α-SMA 和TGFβ1 表达影响的研究”（Z2015472）；广西教育厅项目“解毒化瘀颗粒对肝衰竭大鼠线粒体融合蛋白Mfn1/Mfn2 表达的影响”（J17104）；广西科技计划项目（桂科AD17129001、桂科攻1598011-7）；国家临床重点专科；广西高等学校高水平创新团队及卓越学者；国家中医药管理局重点研究室。 【作者简介】冯福明，男，广西中医药大学第一附属医院主治医师，研究方向为普通外科。 【通信作者】柳琳琳，女，广西中医药大学护理学院讲师，主管护师，研究方向为护理教育、中医护理。
更新日期/Last Update: 2018-08-09