腹腔镜与开腹手术治疗早期卵巢癌的临床疗效比较

发布时间：2018-06-28 17:51

本文选题：早期卵巢癌 + 腹腔镜手术　；参考：《中国医药导刊》2016年10期

【摘要】：目的:分析腹腔镜与开腹手术治疗早期卵巢癌的临床疗效。方法:以78例早期卵巢癌患者为研究对象,39例采用腹腔镜治疗,39例使用开腹手术治疗,对比两组患者术中和术后情况。结果:腹腔镜组患者的手术时间和术中出血量低于对照组,淋巴结切除数多于对照组,术中出血量差异显著(P0.05),手术时间和淋巴结切除数差异不显著。腹腔镜组术后肛门通气和住院时间、术后发热和并发症发生率、术后化学治疗(化疗)例数比例低于开腹手术组,术后肛门排气时间、住院时间、术后发热及并发症发生率差异有统计学意义(P0.05),术后化疗例数差异无统计学意义(P0.05)。结论:腹腔镜治疗早期卵巢的近期疗效优于开腹手术,且安全可靠,可作为治疗早期卵巢癌的首选方法。
[Abstract]:Objective: to analyze the clinical effect of laparoscopy and laparotomy in the treatment of early ovarian cancer. Methods: Seventy-eight patients with early ovarian cancer were studied. 39 patients were treated by laparoscopy and 39 patients were treated by open surgery. The intraoperative and postoperative conditions of the two groups were compared. Results: the operative time and the amount of intraoperative bleeding in the laparoscopic group were lower than those in the control group, and the number of lymph node excision was more than that in the control group (P0.05), but there was no significant difference in the operative time and the number of lymph node excision. The postoperative anal ventilation and hospitalization time, postoperative fever and complications, the proportion of postoperative chemotherapeutic (chemotherapy) cases in laparoscopic group were lower than those in open operation group, the postoperative anal exhaust time and hospitalization time were lower than those in laparoscopy group. The incidence of postoperative fever and complications was significantly different (P0.05), but there was no significant difference in the number of postoperative chemotherapy cases (P0.05). Conclusion: laparoscopic treatment of early ovarian cancer is better than open surgery, and safe and reliable, can be used as the first choice for early ovarian cancer.
【作者单位】：中国人民解放军第九五医院妇科;
【分类号】：R737.31

【相似文献】