摘要
目的对比分析腹腔镜与开腹手术在早期卵巢癌全面分期手术中的临床疗效。方法对2015年5月—2018年6月在本院行手术治疗的61例早期卵巢癌患者进行回顾性分析,其中腹腔镜组28例,开腹组33例。比较两组患者的年龄、体质指数(BMI)、Ca125数值、肿瘤直径、手术时间、出血量、淋巴结切除数目、术后排气时间、术后并发症及住院时间等。结果手术时间腹腔镜组为(191.08±30.36)min,开腹组为(255.33±33.75)min,差异具有统计学意义(P<0.05);腹腔镜组出血量(153.43±42.43)ml,开腹组(286.72±71.21)ml,差异具有统计学意义(P<0.05);腹腔镜组淋巴结切除数目(41.26±14.23)枚,开腹组(39.24±11.78)枚,差异具有统计学意义(P<0.05);腹腔镜组术后排气时间(1.6±0.2)d,开腹组(2.9±0.3)d,差异具有统计学意义(P<0.05);腹腔镜组住院时间(10.05±1.67)d,开腹组(17.33±2.54)d,差异具有统计学意义(P<0.05);两组术中均未发生脏器损伤,在术后并发症及术后复发率方面均无显著性差异。结论对早期卵巢癌行腹腔镜下全面分期手术,具有安全性、创伤小、术后恢复快的优点。
Objective To compare and analyze the clinical efficacy of laparoscopy and laparotomy in comprehensive staging surgery for early stage of ovarian cancer.Methods 61 cases of patients with early-stage ovarian cancer those who admitted to the hospital from May 2015 to June 2018 were analyzed retrospectively,including 28 cases in laparoscopy group and 33 cases in laparotomy group.The age,body mass index(BMI),Ca125 value,tumor diameter,operative time,bleeding volume,number of lymph node dissection,postoperative exhaust time,postoperative complications and hospital stay were compared between the two groups.Results The operation time of laparoscopic group was(191.08±30.36)min,and it was(255.33±33.75)min in the laparotomy group;The amount of bleeding in laparoscopic group was(153.43±42.43)ml,it was(286.72±71.21)ml in laparotomy group;The number of resected lymph node in laparoscopic group was(41.26±14.23),and it was(39.24±11.78)in the open group;Postoperative exhaust time in laparoscopic group was(1.6±0.2)d,and it was(2.9±0.3)d in the laparotomy group;Time of hospitalization time of laparoscopic group was(10.05±1.67)d,it was(17.33±2.54)d of laparotomy group;The differences between the two groups were statistically significant,P<0.05.No organ damage occurred in the two groups.There was no significant difference in postoperative complications and postoperative recurrence rate.Conclusions Laparoscopic total staging surgery for early ovarian cancer has the advantages of safe,less trauma and quick recovery.
作者
陈德招
陈佩芳
CHEN De-zhao(Department of obstetrics and gynecology,union hospital of Fujian medical university,Fuzhou,Fujian,350001,China)
出处
《齐齐哈尔医学院学报》
2020年第5期555-557,共3页
Journal of Qiqihar Medical University
关键词
腹腔镜
开腹
早期卵巢癌
Laparoscopy
Laparotomy
Early ovarian cancer
作者简介
通信作者:陈佩芳,Email:hedongli1980@163.com
