双镜联合治疗胃隆起性病变的临床分析

目的: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9月²014年2月我院采用双镜联合、单纯内镜和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、单纯腹腔镜组30例,比较3组治疗的平均术中失血量、术后并发症、平均手术时间、平均术后住院时间等相关临床指标。结果:单纯内镜组、单纯腹腔镜组和双镜联合组的平均术中出血量分别为(22.2±10.0)ml、(23.5±10.3)ml和(16.2±7.8)ml,F=3.787,P<0.05;单纯内镜组30例患者,术后并发出血1例,发热2例,穿孔2例,单纯腹腔镜组30例患者,术后并发发热3例,梗阻2例,而双镜联合组20例患者,术后无一例出现并发症,χ2=3.810,P>0.05,差异无统计学意义。结论: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。

Clinical outcomes of applying endoscopy and laparoscopy to treatment of gastric protrusive lesions

Objective：To assess the clinical values of applying endoscopy and laparoscopy to treatment of the gastric protrusive lesions .Methods： The clinical outcomes were retrospectively analyzed in 80 patients with gastric protrusive lesions undergone either combined endoscopic and laparoscopic resec-tion（n=20） or simple endoscopic resection（n=30） or laparoscopic intervention（n=30） in our hospital between September 2012 and February 2014. The three groups were compared regarding the mean intraoperative blood loss, postoperative complications, average operative time and postoperative hospi-tal stay.Results：The mean intraoperative blood loss was （22.2 ±10.0） ml（simple endoscopy）, （23.5 ±10.3） ml（simple laparoscopy） and （16.2 ± 7.8） ml（combined use of endoscopy and laparoscopy）, and the results were significant（F=3.787, P〈0.05）.In the 30 patients treated with simple endoscopy, postoperative bleeding occurred in 1, fever in 2 and gastric perforation in 2, and in the 30 treated with simple laparoscopy, fever occurred in 3 and obstruction in 2 after operation.Whereas no postoperative complications were observed in the 20 patients treated with combined techniques.The difference was significant（χ^2 =3.810,P 〉0.05）.Conclusion：Combined use of endoscopic and laparoscopic resection of the gastric protrusive lesions may be wider clinical recommendation , for it leads to more accurate position and fewer postoperative complications .