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目的:对无腹腔镜辅助的内镜全层切除术治疗胃黏膜下肿瘤的治疗效果予以观察和讨论。方法:将2014年1月至2015年12月期间于我院进行治疗的胃黏膜下肿瘤患者38例随机均分为两组,分别为对照组和观察组。对照组19例患者采用常规的手术方法,观察组19例患者采用无腹腔镜辅助的内镜全层切除术进行治疗。对两组患者的治疗效果和治疗有效率进行比较。对手术时间、住院时间、术前准备时间、术后并发症的发生情况进行比较。结果:观察组患者的治疗效果和治疗有效率明显高于对照组,且P<0.05,差异具有统计学意义。观察组患者的手术时间、住院时间、术前准备时间、术后并发症的发生情况都明显少于对照组,且P<0.05差异具有统计学意义。结论:通过本次的研究我们可以看出,使用无腹腔镜辅助的内镜全层切除术治疗胃黏膜下肿瘤的效果更为显著,不容易产生不良反应,且术后不容引起复发和转移,安全有效,值得我们在临床上进一步的推广和使用。
Objective: To observe and discuss the therapeutic effects of laparoscopically assisted endoscopic total excision for the treatment of submucosal tumors. Methods: 38 patients with gastric submucosal tumors treated in our hospital from January 2014 to December 2015 were randomly divided into two groups: control group and observation group. In the control group, 19 patients underwent routine surgery, and 19 patients in the observation group underwent laparoscopically-assisted endoscopic total excision. The treatment effect and treatment efficacy of the two groups of patients were compared. The operative time, length of hospital stay, preoperative preparation time, and postoperative complications were compared. Results: The treatment effect and treatment efficiency of the observation group were significantly higher than the control group, and P<0.05, the difference was statistically significant. The operative time, length of hospital stay, preoperative preparation time, and incidence of postoperative complications in the observation group were significantly less than those in the control group, and the P<0.05 difference was statistically significant. Conclusion: Through this study we can see that the use of laparoscopic-assisted endoscopic total excision for gastric submucosal tumors is more effective, not easy to produce adverse reactions, and can not cause recurrence and metastasis after surgery. Safe and effective, it is worth our further promotion and use in clinical practice.