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目的探讨行胃大部分切除术的胃癌患者在手术治疗中使用胃肠吻合器的临床效果。方法选取2011年1月至2013年12月海门市中医院收治的50例胃癌患者作为研究对象,按随机数字表法将其分为对照组和观察组,各25例。两组患者均行胃大部分切除术,对照组患者使用常规手法吻合,观察组患者采用胃肠吻合器进行吻合,比较两组患者的术中出血量、手术时间、肠胃恢复时间、术后肠胃梗阻狭窄发生情况及临床疗效。结果观察组患者术中出血量明显少于对照组,手术时间及肠胃恢复时间明显短于对照组,术后肠胃梗阻、狭窄率明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者的总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论行胃大部分切除术的胃癌患者在手术治疗中使用胃肠吻合器临床疗效明显,可减少术中出血量,降低肠胃梗阻、狭窄发生率,有利于患者术后身体的康复。
Objective To investigate the clinical effect of gastrointestinal stapler in the surgical treatment of patients with gastric cancer undergone gastric resection. Methods Fifty patients with gastric cancer who were admitted to Haimen Hospital of Traditional Chinese Medicine from January 2011 to December 2013 were selected as study subjects and divided into control group and observation group according to random number table. Most of the patients underwent resection of the stomach. The patients in the control group were anastomosed by conventional techniques. The patients in the observation group were anastomosed by the gastrointestinal stapler. The blood loss, operation time, recovery time, postoperative gastrointestinal Obstructive stenosis occurs and clinical efficacy. Results The bleeding volume in the observation group was significantly less than that in the control group. The operation time and gastrointestinal recovery time were significantly shorter than those in the control group. The postoperative gastrointestinal obstruction and stenosis rate were significantly lower than those in the control group (all P <0.05 ). The total effective rate in observation group was significantly higher than that in control group, the difference was statistically significant (P <0.05). Conclusions Gastric cancer patients undergoing partial resection of stomach mostly have the clinical curative effect of using gastrointestinal stapler in surgical treatment, which can reduce the intraoperative blood loss, reduce the incidence of gastrointestinal obstruction and stenosis, and benefit the recovery of postoperative patients.