双镜联合治疗低危胃间质瘤的临床疗效观察
Analysis of Clinical Efficacy of Laparoscopic Endoscopic Cooperative Surgery for Low Risk Gastric Gastrointestinal Stromal Tumor

目的：探讨联合应用腹腔镜与胃镜治疗低危胃间质瘤的临床效果。方法：选取2015年1月至2017年12月在彭州市人民医院胃肠外科住院治疗的低危胃间质瘤患者80例，按照随机数字表法分为观察组和对照组，各40例。观察组患者采用腹腔镜联合胃镜手术治疗，对照组患者采用常规开腹手术治疗。对比两组患者术中术后各项观察指标，观察两组患者的临床治疗效果，比较统计学差异。结果：两组患者手术时间相当，观察组患者术中出血量、术后排气时间、饮食恢复时间和住院时间均显著优于对照组，差异有统计学意义(P < 0.05)。观察组并发症总发生率低于对照组，差异有统计学意义(P < 0.05)。随访期间，观察组和对照组患者在术后均未出现肿瘤复发或死亡。结论：腹腔镜与胃镜联合应用治疗低危胃间质瘤可提高手术准确性，有效减少术中出血量，缩短住院时间，减少并发症的发生，值得在临床上推广应用。
Objectives: To explore the clinical efficacy of laparoscopy combined with gastroscopy in the treatment of low risk gastric gastrointestinal stromal tumors. Methods: From January 2015 to December 2017, 80 patients with low risk gastric gastrointestinal stromal tumors were enrolled and randomly divided into treatment group (40 cases) and control group (40 cases). Patients in treatment group and control group were given gastroscopy-assisted laparoscopic resection and open surgery, respectively. The operation related indexes were recorded and analyzed. Results: Compared with the control group, the operation time was closely. However, intraoperative blood loss, postoperative exhaust time, dietary recovery time and hospitalization time in the treatment group were significantly decreased compared with the control group (P < 0.05). The total incidence of complications in treatment group was significant lower than that of control group (P < 0.05). No tumor recurrence and death during follow-up period occurred. Conclusion: Combined application of laparoscopy and gastroscopy in the treatment of low-risk gastric stromal tumor can improve the surgical accuracy, effectively reduce intraoperative blood loss, shorten the length of hospital stay, and reduce the occurrence of complications, which is worthy of clinical application.