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腹腔镜下胃癌根治术与内镜黏膜下剥离术治疗早期胃癌对比研究.doc

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腹腔镜下胃癌根治术与内镜黏膜下剥离术治疗早期胃癌对比研究.doc
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腹腔镜下胃癌根治术与内镜黏膜下剥离 术治疗早期胃癌对比研究 周瀚 王玉铜 于文胜 潍坊医学院外科学教研室 安丘市人民医院两腺外科 潍坊市人民医院普外科 摘 要: 目的 比较研究腹腔镜下胃癌根治术与内镜黏膜下剥离术 (ESD) 治疗早期胃癌 (EGC) 临床效果。方法 随机将 30例EGC患者设为治疗组, 行ESD治疗;将32 例EGC 患者设为对照组, 行腹腔镜下胃癌根治术治疗。对临床效果进行对比。结 果 治疗组患者的手术时间、手术出血量、住院时间、住院费用、并发症发生率 分别为60.3±21.2min, 68.3±15.8ml, 6.9±3.1d, 0.9±0.2 万元、6.7%, 对 照组患者分别为120.7±14.9min, 150.3±23.5ml, 12.7±2.1d, 4.9±0.4万元、 25.0%.两组比较, 差异有显著性 (P0.05) 。结论 在EGC 治疗中, ESD与腹腔镜下胃癌根治术预后相同, 但ESD具有手术时间短、手术出 血量少、住院时间短、住院费用少、并发症发生率低等优点, 值得在临床推广应 用。 关键词: 胃肿瘤, 早期; 内镜黏膜下剥离术; 腹腔镜胃癌根治术; 作者简介:周瀚 (1987 年~) , 男, 在读硕士研究生。主要研究方向:胃肠外科 学。 作者简介:于文胜, E-mail:546658468@qq.com The Comparative Study of Laparoscopic Radical Resection for Gastric Cancer and Endoscopic Submucosal Dissection in the Treatment of Early Gastric Cancer ZHOU Han WANG Yu-tong YU Wen-sheng Department of Surgery, Weifang Medical University; Department of Thyroid and Breast Surgery, Anqiu People's Hospital; Department of General Surgery, Weifang People's Hospital; Abstract: Objective To compare the clinical effect of laparoscopic radical resection for gastric cancer with endoscopic submucosal dissection in the treatment of early gastric cancer. Methods Thirty cases of early gastric cancer were setted as treatment group at random, who were treated with endoscopic submucosal dissection, besides, thirty-two cases of early gastric cancer were setted as control group at random, who were treated with laparoscopic radical resection. Compared the clinical effect of two groups. Results The operation time, intraoperative blood loss, hospital stays, hospital expenses, complication rates in treatment group were ( 0. 3 ± 21. 2 min, 68. 3 ± 15. 8 ml, 6. 9 ± 3. 1 d, 0. 9 ± 0. 2 w, 6. 7%, besides, those in control group were 120. 7 ± 14. 9 min, 150. 3 ± 23. 5 ml, 12. 7 ± 2. 1 d, 4. 9 ± 0. 4 w, 25. 0%. One case in treatment group recurred during the period of follow-up, which was found in the sixth month after operation, besides, one case in control group recurred i
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