国际老年医学杂志2026，Vol.47Issue(1)：52-56,5.DOI:10.3969/j.issn.1674-7593.2026.01.008
腹腔镜—内镜系统联合根治术治疗早期胃癌老年患者的效果评估
Evaluation of laparoscopic-endoscopic system combined with radical surgery in the treatment of elderly patients with early gastric cancer
摘要
Abstract
Objective To investigate the short-term and long-term curative efficacy of laparoscopic endoscopic system com-bined with radical surgery in the treatment of elderly patients with early gastric cancer and its effect on gastrin and nutritional levels.Methods A total of 100 elderly patients with early gastric cancer admitted to the First Affiliated Hospital of Xinjiang Medical Univer-sity from January 2012 to December 2022 were selected as the study subjects and randomly divided into the study group and the control group,with 50 cases in each group.The control group was given laparotomy,and the study group was given laparoscopic endoscopic system combined with radical surgery.The short-term curative efficacy,long-term curative efficacy,gastrin,nutritional level and post-operative complications were compared between the two groups.Results Compared with the control group,the study group had longer operation time,less intraoperative blood loss,and shorter postoperative first exhaust time,time to get out of bed,and hospital stay(P<0.05).There were no significant differences in the recurrence rate,mucosal survival rate,submucosal survival rate,and overall survival rate between the two groups(P>0.05).Compared with the control group,the study group had higher postoperative GAS and MTL levels and lower CCK levels(P<0.05);ALB,PAB,and HB levels(P<0.05);the control group had significant differences from the preoperative group(P<0.05).Overall complication rate was lower(P<0.05).Conclusion Laparoscopic-endoscopic sys-tem combined with radical surgery can significantly improve the short-term efficacy of elderly patients with early gastric cancer,with less effect on gastrin secretion and nutritional level of the body,and fewer postoperative complications.关键词
腹腔镜—内镜系统联合根治术/早期胃癌/近期疗效/远期疗效/胃泌素/营养水平Key words
Laparoscopic-endoscopic system combined with radical surgery/Early gastric cancer/Short-term curative effect/Long-term curative effect/Gastrin/Nutritional level引用本文复制引用
马会华,李春兴,李丽,阿不都外力·吾守尔..腹腔镜—内镜系统联合根治术治疗早期胃癌老年患者的效果评估[J].国际老年医学杂志,2026,47(1):52-56,5.基金项目
新疆维吾尔自治区自然科学基金(2023D01C99) （2023D01C99）
