腹腔镜技术在胃肠恶性肿瘤患者手术治疗中的应用与效果分析

临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (1): 55-.

腹腔镜技术在胃肠恶性肿瘤患者手术治疗中的应用与效果分析

徐州市睢宁县人民医院普外科，江苏徐州 221200

出版日期:2025-01-01 发布日期:2025-03-24

Application and eff ect analysis of laparoscopic technology in surgical treatment of gastrointestinal malignant tumor patients

General Surgery Department of Suining County People’s Hospital in Xuzhou City, Jiangsu Xuzhou 221200, China

Online:2025-01-01 Published:2025-03-24

摘要/Abstract

摘要：

目的探讨腹腔镜技术在胃肠恶性肿瘤手术治疗中的应用与效果。方法选取徐州市睢宁县人民医院 2022 年 11 月至 2024 年 11 月收治的 70 例胃肠恶性肿瘤手术治疗的患者，按照不同的手术方式分为试验组（35 例，采用腹腔镜下胃肠恶性肿瘤切除手术）和对照组（35 例，开腹手术），观察两组患者的手术治疗效果及术后恢复情况。结果试验组患者的手术治疗时间比对照组长，术中失血量比对照组少，术后排气时间、进流食及固体食物时间、离床活动时间、住院时间、镇痛剂使用时间，以及留置导尿时间均短于对照组，差异均有显著性（P ＜ 0.05）。治疗前，两组患者的视觉模拟评分法（visual analogue scale,VAS）评分无显著差异，治疗后，试验组患者的 VAS 评分低于对照组，试验组患者的并发症发生率为5.71%（2/35），低于对照组 [22.86%（8/35）]，差异均有显著性（P ＜ 0.05）。治疗前，两组患者的睡眠质量无显著差异（P ＞ 0.05），治疗后，试验组患者的睡眠质量优于对照组，差异有显著性（P ＜ 0.05）。结论在胃肠恶性肿瘤手术治疗中辅助应用腹腔镜技术，可以减轻对患者机体损伤程度，促进患者术后尽快康复，提高睡眠质量。

关键词: 胃肠恶性肿瘤, 腹腔镜技术, 治疗效果

Abstract:

Objective To explore the application and eff ectiveness of laparoscopic technique in the surgical treatment of gastrointestinal malignant tumors. Method 70 patients with gastrointestinal malignant tumors who un-derwent surgical treatment at Suining County People’s Hospital in Xuzhou City from November 2022 to Novem-ber 2024 were selected and divided into an experimental group (35 cases, using laparoscopic gastrointestinal malig-nant tumor resection surgery) and a control group (35 cases, open abdominal surgery) according to diff erent surgical methods. The surgical treatment eff ect and postoperative recovery of the two groups of patients were observed. Result The surgical treatment time of the experimental group patients was longer than that of the control group, and the intraoperative blood loss was less than that of the control group. The postoperative exhaust time, liquid and solid food intake time, bed rest time, hospitalization time, analgesic use time, and indwelling catheterization time were all shorter than those of the control group, and the diff erences were signifi cant (P ＜ 0.05). Before treatment, there was no signifi cant diff erence in visual analogue scale(VAS) scores between the two groups of patients. After treatment, the VAS scores of the experimental group were lower than those of the control group. The incidence of complications in the experimental group was 5.71% (2/35), which was lower than that of the control group [22.86% (8/35)], and the diff erences were signifi cant (P ＜ 0.05). Before treatment, there was no signifi cant diff erence in sleep quality between the two groups of patients (P ＞ 0.05). After treatment, the sleep quality of the experimen-tal group was better than that of the control group, and the diff erence was signifi cant (P ＜ 0.05). Conclusion The auxiliary application of laparoscopic technology in the surgical treatment of gastrointestinal malignant tumors can reduce the degree of damage to the patient’s body, promote postoperative recovery, and improve sleep quality.

Key words: Gastrointestinal malignant tumors, Laparoscopic technique, Treatment eff ect

靳展, 周明. 腹腔镜技术在胃肠恶性肿瘤患者手术治疗中的应用与效果分析 [J]. 临床普外科电子杂志, 2025, 13(1): 55-.

Jin Zhan, Zhou Ming. Application and eff ect analysis of laparoscopic technology in surgical treatment of gastrointestinal malignant tumor patients [J]. Journal of General Surgery for Clinicians, 2025, 13(1): 55-.