腹腔镜手术在复发性卵巢癌中的应用价值

发布时间：2018-05-23 12:38

本文选题：腹腔镜 + 复发性卵巢癌　；参考：《实用妇产科杂志》2015年09期

【摘要】：目的:对比分析腹腔镜和开腹手术在复发性卵巢癌中的治疗效果,探讨腹腔镜手术在复发性卵巢癌中的应用价值。方法:2005年1月至2012年12月在我院经腹腔镜探查发现复发性卵巢恶性肿瘤26例,其中14例经腹腔镜行肿瘤细胞减灭术,12例在腹腔镜探查后转开腹手术行肿瘤细胞减灭术。对比分析两组手术时间、术中出血量、住院时间、术后并发症、无进展生存期(PFS)、2年生存率等。结果:与开腹手术组比较,腹腔镜手术组的手术时间及住院时间更短,术中出血量更少,术后并发症发生率更低,差异均有统计学意义(P0.05)。两组患者PFS及2年生存率差异无统计学意义(P0.05)。结论:腹腔镜手术与开腹手术在复发性卵巢癌中的治疗效果相似,且腹腔镜手术时间更短,具有创伤小及术后恢复快的优势。
[Abstract]:Objective: to compare the efficacy of laparoscopy and open surgery in the treatment of recurrent ovarian cancer and to explore the value of laparoscopic surgery in recurrent ovarian cancer. Methods: from January 2005 to December 2012, 26 cases of recurrent ovarian malignant tumors were found by laparoscopy in our hospital. Among them, 14 cases were treated by laparoscopy and 12 cases were converted to laparotomy after laparoscopic exploration. The operative time, intraoperative bleeding volume, hospitalization time, postoperative complications, progressive survival time and 2 year survival rate were compared between the two groups. Results: compared with the open operation group, the operative time and hospital stay in the laparoscopic operation group were shorter, the amount of intraoperative bleeding was less, and the incidence of postoperative complications was lower, the difference was statistically significant (P 0.05). There was no significant difference in PFS and 2-year survival rate between the two groups (P 0.05). Conclusion: laparoscopic surgery is similar to open surgery in the treatment of recurrent ovarian cancer, and laparoscopic surgery has the advantages of less trauma and quick recovery.
【作者单位】：湖北省潜江市中心医院;
【分类号】：R737.31

【共引文献】