个体化手术治疗胃肠癌合并肝硬化门脉高压症的观察
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摘要
目的总结胃肠肿瘤合并肝硬化门脉高压症患者接受个体化手术治疗的具体方法以及治疗效果。方法选取我院手指的胃肠肿瘤合并肝硬化门脉高压症患者100例作为研究对象,根据治疗方案的差异,对其进行分组。对照组接受脾切除贲门周围血管离断术进行治疗,研究组接受个体化手术方式治疗,对比两组治疗效果、手术之后产生并发症情况、住院时间以及住院费用,将所得各项数值进行统计学计算。结果研究组治疗总体有效率高于对照组;手术后,并发症情况低于对照组,住院时间以及住院费用低于对照组,两组数据对比,差异具有统计学意义(P<0.05)。结论临床中,对胃肠肿瘤合并肝硬化门脉高压症患者采取个体化手术治疗效果理想。
Objective To summarize the specific methods and therapeutic effects of individualized surgical treatment for patients with gastrointestinal tumor and portal hypertension. Methods 100 cases of gastrointestinal tumor with liver cirrhosis and portal hypertension were selected as the study subjects. They were divided into groups according to the difference of the treatment plan. The control group received splenectomy and pericardial vascular dissection for treatment. The study group received individualized surgical treatment. The effects of the two groups, the complications after the operation, the time of hospitalization and the cost of hospitalization were compared, and all the values were calculated statistically. Results The total effective rate of treatment in the study group was higher than that of the control group. After operation, the incidence of complications was lower than that of the control group. The time of hospitalization and the cost of hospitalization were lower than those of the control group. The difference between the two groups was statistically significant(P < 0.05). Conclusion The effect of individualized operation is ideal for the patients with gastrointestinal tumor and portal hypertension.
Objective To summarize the specific methods and therapeutic effects of individualized surgical treatment for patients with gastrointestinal tumor and portal hypertension. Methods 100 cases of gastrointestinal tumor with liver cirrhosis and portal hypertension were selected as the study subjects. They were divided into groups according to the difference of the treatment plan. The control group received splenectomy and pericardial vascular dissection for treatment. The study group received individualized surgical treatment. The effects of the two groups, the complications after the operation, the time of hospitalization and the cost of hospitalization were compared, and all the values were calculated statistically. Results The total effective rate of treatment in the study group was higher than that of the control group. After operation, the incidence of complications was lower than that of the control group. The time of hospitalization and the cost of hospitalization were lower than those of the control group. The difference between the two groups was statistically significant(P < 0.05). Conclusion The effect of individualized operation is ideal for the patients with gastrointestinal tumor and portal hypertension.
引文
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[2]林浩,谢玲珠,郑灿滨.肝硬化和肝癌患者外周血淋巴细胞中肿瘤抑制因子EGR-1、PTEN的表达[J].广东医学,2015,53(12):1885-1887.
[3]汪洋,刘建平,张克韬.肝肿瘤合并肝硬化患者不规则性肝切除术后再手术的危险因素分析[J].中华肝脏外科手术学电子杂志,2017,6(2):108-112.
[4]葛海龙.胃肠道肿瘤合并肝硬化门静脉高压的术式选择[J].中国现代普通外科进展,2016,19(11):907-908,911.
[5]张长春.胃肠恶性肿瘤伴肝硬化门静脉高压症13例报告[J].深圳中西医结合杂志,2015,25(12):97-98.
[6]王金波,李海英,孙敏,等.乙肝肝硬化接受治疗期间肿瘤标志物水平的变化研究[J].中国实验诊断学,2016,20(7):1085-1088.
[7]朱智军,朱一宁.肝硬化门静脉高压症合并胃肠道肿瘤外科治疗临床分析[J].吉林医学,2015,58(11):2336-2337.
[8]蔡卫东.手术治疗胃肠肿瘤合并肝硬化门脉高压征的临床疗效观察[J].中国现代医生,2012,50(34):138-139.