多镜联合诊治胃隆起性病变的临床分析

发布时间：2018-10-24 20:39

【摘要】：目的：通过内镜腹腔镜双镜联合治疗和单镜治疗胃隆起性病变的临床疗效对比分析，探讨双镜联合治疗胃隆起性病变的临床应用价值。方法：回顾性分析2012年09月至2014年02月我院采用内镜腹腔镜双镜联合、单纯内镜、单纯腹腔镜治疗胃隆起性病变患者80例，，其中双镜联合组20例，单纯内镜组30例和单纯腹腔镜组30例，比较3组治疗的平均手术时间，平均术中失血量，平均术后住院时间，平均住院费用和术后并发症等相关临床指标。结果：单纯内镜组、单纯腹腔镜组和双镜联合组治疗的平均手术时间分别为131min、161min和168min；平均术中出血量分别为22.2ml、23.5ml和16.2ml；平均术后住院时间分别为7.3d、9.5d和7.8d；平均住院费用分别为13884元、18804元和21327元，对三组间相关临床指标进行方差分析，P值均0.05，差异有统计学意义。进而组间两两比较，可以认为，单纯内镜组平均手术时间相比于其他两组明显减短；双镜联合组平均术中出血量相比于其他两组明显减少；单纯腹腔镜组平均术后住院时间相比于其他两组明显延长；单纯内镜组平均住院费用相比于其他两组明显减少。 80例胃隆起性病变患者，单纯内镜组治疗患者30例，术后并发出血1例，发热2例，穿孔2例；单纯腹腔镜组治疗患者30例，术后并发发热3例，梗阻2例；而双镜联合组治疗患者20例，术后无一例出现相应手术并发症。结论：内镜腹腔镜双镜联合治疗胃隆起性病变具有定位准确，并发症少的优势，值得临床进一步应用。
[Abstract]:Objective: to explore the clinical application value of double endoscopy combined with double endoscopy and single endoscope in the treatment of gastric protruding lesions. Methods: from September 2012 to February 2014, 80 patients with gastric protuberance lesions were treated with double endoscopy combined with endoscopy and laparoscopy alone, including 20 patients in double mirror group. 30 cases in endoscopy group and 30 cases in laparoscope group. The average operative time, average blood loss, average postoperative hospitalization time, average hospitalization cost and postoperative complications were compared among the three groups. Results: the mean operative time, intraoperative blood loss, postoperative hospitalization time and postoperative hospitalization time were 131min, 161min and 168min, 22.2 ml and 16.2ml, respectively. The average cost of hospitalization was 13884 yuan, 18804 yuan and 21327 yuan respectively. The variance analysis of the related clinical indexes among the three groups showed that the difference was statistically significant (P < 0.05). Compared with the other two groups, the average operative time in the simple endoscopic group was significantly shorter than that in the other two groups, and the mean intraoperative blood loss in the double-mirror combined group was significantly lower than that in the other two groups. The average postoperative hospitalization time of the laparoscopic group was significantly longer than that of the other two groups, and the average hospitalization cost of the simple endoscopic group was significantly lower than that of the other two groups. Postoperative bleeding occurred in 1 case, fever in 2 cases, perforation in 2 cases, laparoscopic group in 30 cases, postoperative fever in 3 cases, obstruction in 2 cases, and double mirror combined group in 20 cases. Conclusion: double endoscopy combined with laparoscopy has the advantages of accurate localization and less complications, which is worthy of further clinical application.
【学位授予单位】：皖南医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R573

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