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目的对比研究腹腔镜及开腹手术治疗早期卵巢癌患者的临床效果。方法卵巢癌早期患者80例,随机分为实验组(腹腔镜手术组)40例,对照组(开腹手术组)40例。对比研究两组患者手术时间、术中出血量、术中清扫出淋巴结数目、术后疼痛程度、术后胃肠道功能恢复时间、术后有无并发症及术后随访12个月肿瘤复发率等指标。结果两组患者手术均获成功,无改变手术方式者。术中出血量、清扫淋巴结数目、术后胃肠功能恢复时间、术后并发症、术后疼痛程度腹腔镜组均低于开腹手术组,组间比较有统计学差异(P<0.05),腹腔镜组手术时间多于开腹组的手术时间,组间比较有统计学差异(P<0.05)、术后随访12个月均无复发,组间比较差异无统计学意义(P>0.05)。结论腹腔镜手术较开腹手术具有较好的临床效果,对患者预后效果较好、并发症少,腹腔镜手术在早期卵巢癌患者的治疗中的应用值得临床推广。
Objective To compare the clinical effects of laparoscopy and laparotomy in the treatment of patients with early stage ovarian cancer. Methods 80 patients with early ovarian cancer were randomly divided into experimental group (laparoscopic surgery group) 40 cases, control group (laparotomy group) 40 cases. The operative time, intraoperative blood loss, the number of dissected lymph nodes, the degree of postoperative pain, the postoperative gastrointestinal function recovery time, the postoperative complications and postoperative follow-up of 12 months were compared between the two groups And other indicators. Results Two groups of patients were successful in surgery, no change in surgical methods. The number of bleeding, the number of lymph nodes, postoperative gastrointestinal function recovery time, postoperative complications and postoperative pain were lower in laparoscopic group than those in open surgery group (P <0.05) The operation time of laparoscopic group was longer than that of laparotomy group (P <0.05), but there was no recurrence after 12 months of follow-up. There was no significant difference between the two groups (P> 0.05) . Conclusions Laparoscopic surgery has better clinical effect than open surgery. It has better prognosis and fewer complications. Laparoscopic surgery is worthy of clinical application in the treatment of patients with early stage ovarian cancer.