腹腔镜治疗早期卵巢癌的临床研究

发布时间：2018-01-02 17:28

本文关键词：腹腔镜治疗早期卵巢癌的临床研究　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:比较腹腔镜手术和开腹手术,两种手术方式治疗早期卵巢癌(I-IIa)的安全性及可行性分析。方法:选取在2006-2016年间就诊于新疆医科大学第一附属医院妇科且诊断为早期卵巢癌的患者,并且在我院妇科接受根治性手术治疗的患者,手术治疗分为腹腔镜下早期卵巢癌根治术及经腹早期卵巢癌根治术,将符合纳入标准的患者根据接受手术方式不同分为实验组(接受腹腔镜手术治疗),对照组(接受开腹手术治疗)。采用SPSS软件对两组患者的手术时间、术中出血量、盆腔淋巴结清扫数、住院时间长度、术后并发症、术后肛门排气时间、进行统计学分析。结果:共纳入100例早期卵巢癌患者的相关临床病例,其中包括63例LPS(观察组:经腹腔镜治疗早期卵巢癌)患者和37例LPT(对照组:经开腹治疗早期卵巢癌)患者,接受两种手术治疗后,对比两组患者的术中出血量、术后相关并发症、总体的住院时间长度、手术后的肛门排气时间低于对照组,两组患者之间的比较差具有异具有统计学意义(P0.05)。手术时间、盆腔淋巴结清扫数差异无统计学意义(P0.05)。结论:临床治疗早期卵巢癌的手术方案中,腹腔镜对于早期卵巢癌的治疗有较好的安全性及可行性。术中及术后的相关并发症及不良预后,临床上有一定的推广价值。
[Abstract]:Objective: to compare laparoscopic surgery with open surgery. Two surgical methods for the treatment of early ovarian cancer (I-IIa). Methods: select the gynecological patients who were diagnosed as early ovarian cancer in the first affiliated Hospital of Xinjiang Medical University from 2006 to 2016. And in our hospital gynecological patients undergoing radical surgery, the surgical treatment is divided into laparoscopic early ovarian cancer radical surgery and transabdominal early ovarian cancer radical surgery. The patients who met the inclusion criteria were divided into two groups according to the different methods of operation: the experimental group (receiving laparoscopic surgery and the control group). The operation time of the two groups was treated with SPSS software. Intraoperative bleeding, pelvic lymph node dissection, length of stay, postoperative complications, postoperative anal exhaust time, statistical analysis. Results: 100 patients with early ovarian cancer were included in the clinical cases. There were 63 patients with LPS (observation group: laparoscopic treatment of early ovarian cancer) and 37 patients with LPT (control group: open treatment of early ovarian cancer) after two kinds of surgical treatment. The volume of intraoperative bleeding, postoperative complications, total length of hospital stay, and anal exhaust time after operation were compared between the two groups as compared with those in the control group. The difference between the two groups was statistically significant (P 0.05). There was no significant difference in the number of pelvic lymph nodes dissection (P 0.05). Conclusion: in the surgical treatment of early ovarian cancer, there is no significant difference in the number of pelvic lymph nodes. Laparoscopy is safe and feasible for the treatment of early ovarian cancer.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R737.31

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