目的：探讨腹腔镜联合胃镜治疗胃间质瘤的疗效。方法回顾性分析2009年9月至2013年12月行手术治疗的98例胃间质瘤病人,其中腹腔镜联合胃镜治疗者46例(双镜组),单纯腹腔镜治疗者52例(腹腔镜组),比较两组病人手术结果和预后。结果双镜组的手术时间、术中出血量分别为(102.4±32.4)min 和(54.2±12.6)ml,显著低于腹腔镜组(122.6±42.4)min、(72.4±15.4)ml,差异有统计学意义(均 P <0.05)。两组病人术后进食时间、术后住院时间、住院费用、术后并发症发生率的差异无统计学意义(均 P >0.05)。双镜组42例随访6~54个月,平均(30.5±8.9)个月,腹腔镜组48例随访7~53个月,平均(31.0±9.2)个月,均无复发转移。结论腹腔镜联合胃镜治疗胃间质瘤是安全而有效的,较单纯腹腔镜而言,可以减少手术时间和术中出血量。%Objective To evaluate the clinical efficacy of endoscopic and laparoscopic resection of gastric stromal tumor.Methods The clinical data were analyzed for 98 surgical patients with gas-tric stromal tumor from September 2009 to December 2013.Among them,46 patients underwent lapa-roscopy plus gastroscopy (combination group)while another 52 patients laparoscopy alone (laparo-scopic group).And the intra- and post-operative data were compared for two groups.Results In combination group,operative duration and blood loss were lower than those in laparoscopic group (102.4±32.4 min vs 122.6 ±42.4 min,54.2 ± 12.6 ml vs 72.4± 1 5.4 ml,all P >0.05).No inter-group differences existed in dietary time,hospital stay,hospitalization expenditure and incidence of complications (all P <0.05).Follow-ups were conducted for 42 cases in combination group for 6-54 (30.5±8.9)months and 48 cases in laparoscopic group for 7-53 (3 1 .0 ±9.2)months respectively. During the periods,neither recurrence nor metastasis was detected.Conclusions Laparoscopy plus gastroscopy is both feasible and efficacious for gastric stromal tumor.Compared with laparoscopy a-lone,it shortens operative duration and minimizes blood loss.
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