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【目的】比较胃镜联合腹腔镜手术与常规开腹手术对早期胃癌治疗的临床疗效。【方法】选择2012年4月至2013年4月本院收治的早期胃癌患者56例，按照随机数字表法随机分为观察组和对照组，每组各28例。对照组采用常规开腹手术进行治疗，观察组采用胃镜联合腹腔镜手术进行治疗。并对两种治疗方法的手术时间、术中出血量、术后肠功能恢复时间、住院时间及术后并发症进行观察和比较。【结果】①观察组在术中出血量、术后肠功能恢复时间、住院时间等方面显著优于对照组（P ＜0．05）；②观察组患者术后并发症，肺部感染、泌尿系炎症、胸腔积液及切口感染情况明显低于对照组（P ＜0．05）。【结论】胃镜联合腹腔镜手术治疗早期胃癌较传统开腹手术而言，可缩短治疗时间、减少痛苦、安全可靠，是治疗早期胃癌的安全可行办法，值得临床推广应用。“,”[Obj ective]To compare the clinical effect of gastroscopy combined with laparoscopy vs.tradi-tional laparotomy surgery for the treatment of early gastric cancer.[Methods]Totally 5 6 patients with early gastric cancer in our hospital from April 2012 to April 2013 were chosen and randomly divided into conserva-tion group and control group with 28 patients in each group.The observation group underwent gastroscopy combined with laparoscopy,while the control group underwent traditional laparotomy surgery.The operation time,intraoperative blood loss,postoperative recovery time of intestinal function,hospitalization time and postoperative complications of two groups were observed and compared.[Results]Intraoperative blood loss, postoperative recovery time of intestinal function and hospitalization time in observation group were markedly better than the control group(P <0.05).The postoperative complications such as lung infection,urinary tract inflammation,pleural effusion and wound infection in observation group were obviously lower than those in the control group.[Conclusion]Compared with traditional laparotomy surgery,gastroscopy combined with laparoscopy for the treatment of early gastric cancer can shorten the treatment time and reduce the pain,and is safe and reliable,so it is safe and feasible method.It is worthy of clinical promotion.