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目的 探讨腹腔镜联合胃镜在胃间质瘤临床治疗中的应用.方法 胃间质瘤病人30例,将30例病人分成两组,其中双镜组18例,采用腹腔镜、胃镜联合手术;开腹组12例,采用传统开腹手术,比较两组病人一般资料、手术时间、出血量、住院时间、腹腔引流量、术后并发症、住院费用及1年复发率.结果 两组均无死亡病例,两组病人一般资料比较差异无统计学意义(P＞0.05).双镜组出血量、手术时间、腹腔引流量、住院时间、住院费用分别为(45.6±12.2)ml、(121.9±24.5)分钟、(91.2±14.6) ml、(8.4±2.3)天、(34591.2±3434.6)元;开腹组分别为(65.6±14.3)ml、(94.7±18.5)分钟、(117.9±22.5)ml、(11.3±3.4)天和(25374.3±2930.3)元,两组比较差异有统计学意义(P＜0.05).双镜组术后发生并发症1例,发生率为5.56％;开腹组术后发生并发症5例,发生率41.67％,两组比较差异有统计学意义(P＜0.05).术后1年双镜组复发3例,开腹组2例,两组比较差异无统计学意义(P＞0.05).结论 腹腔镜联合胃镜手术切除胃间质瘤,可以发挥各自优势,定位快速精准,恢复快,疗效肯定.“,”Objective To investigate the clinical efficacy of laparoscopy combined with gastroscopy in the treatment of gastric stromal tumors.Methods A retrospective analysis was conducted on the clinical data of 30 cases who received gastric gastrointestinal surgery from August 2013 to April 2016.Among the 30 cases,18 cases(Double mirror group)were received surgery by laparoscopy combined with gastroscopy,12 cases (laparotomy group)were underwent traditional open surgery.The general data,operation time,blood loss,hospitalization time,abdominal volume,postoperative complications,hospitalization expenses and 1-year recurrence rate were compared between the two groups.Results There were no deaths in the two groups,and the general data had no significant difference between the two groups (P ＞ 0.05).The bleeding volume,operation time,peritoneal drainage,hospitalization time,hospitalization expenses of the double mirror group were (45.6 ± 12.2) ml,(121.9 ± 24.5) min,(91.2 ± 14.6) ml,(8.4 ± 2.3) d,(34591.2 ± 3434.6) yuan,and those of laparotomy group were (65.6 ± 14.3) ml,(94.7 ± 18.5) min,(117.9 ± 22.5) ml,(11.3 ± 3.4) d,(25374.3 ± 2930.3) yuan,the difference between the two groups was statistically significant(P ＜ 0.05).One case with complications was found in the double mirror group,and the incidence rate was 5.56％.Five cases with complications were found in the laparotomy group,and the incidence rate was 41.67％,the difference was statistically significant(x2 =6.354,P =0.001).After 1 year,three cases ofrecurrences were found in the double mirror group,and 2 cases in the laparotomy group,there was no significant difference between the two groups (x2 =0,P =0.485).Conclusion The method of laparoscopic combined with gastroscopy can give full play to their advantages,and has the advantages of fast and accurate positioning,fast recovery and accuracy curative effect in the resection of gastric stromal tumors.