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目的对比腹腔镜与开腹手术治疗早期胃癌的临床效果。方法 92例早期胃癌患者,按照随机数字表法将其分为实验组与参照组,各46例。实验组患者实施腹腔镜手术治疗,参照组患者予以开腹手术治疗,比较两组患者治疗效果。结果两组患者的淋巴结清扫数比较,差异无统计学意义(P>0.05);实验组患者的术中出血量少于参照组,术后排气时间、住院时间短于参照组,差异有统计学意义(P<0.05)。实验组患者的并发症发生率为6.52%低于参照组的23.91%,差异有统计学意义(P<0.05)。结论应用腹腔镜手术治疗早期胃癌效果理想,且有创伤小、恢复快、并发症少等优势,值得推广。
Objective To compare the clinical efficacy of laparoscopy and laparotomy in the treatment of early gastric cancer. Methods 92 cases of early gastric cancer patients were divided into experimental group and reference group according to the random number table method, 46 cases in each. The patients in the experimental group were treated by laparoscopy, the patients in the reference group were treated by laparotomy, and the treatment effect was compared between the two groups. Results There was no significant difference in lymph node clearance between the two groups (P> 0.05). The blood loss in the experimental group was less than that in the reference group, the time of exhaust and hospital stay were shorter than the reference group Significance (P <0.05). The incidence of complications in the experimental group was 6.52% lower than that in the reference group (23.91%), the difference was statistically significant (P <0.05). Conclusion The application of laparoscopic surgery for early gastric cancer is effective and has the advantages of less trauma, faster recovery and fewer complications and is worth promoting.