摘要
目的比较腹腔镜和开腹手术在早期卵巢恶性肿瘤治疗中的近远期疗效。方法回顾性分析2007年6月—2010年1月术中活检病理确诊早期卵巢恶性肿瘤,行卵巢癌分期手术的58例Ⅰ期上皮性卵巢癌患者的临床资料。其中腹腔镜手术20例(腹腔镜组),开腹手术38例(开腹组),对比两组术中及术后恢复情况,并对术后复发率、并发症发生率及腹壁切口转移率等进行随访。结果①腹腔镜组术中出血量(104.5±64.8)ml较开腹组(255.1±44.3)ml明显减少(P<0.01),术后肛门排气时间腹腔镜组(39.6±10.4)h明显短于开腹组(53.1±13.9)h(P<0.01)。两组手术时间[(265.6±35.2)min、(247.3±26.5)min]、盆腔淋巴结切除数量[18.4±3.4、20.7±5.9]、术后并发症发生率[10%、15.8%]差异均无统计学意义(P>0.05)。②术后随访两组复发率及腹壁切口转移率均无明显差异(P>0.05)。结论腹腔镜治疗早期卵巢癌创伤小、恢复快,与开腹手术相比不增加复发率及腹壁切口转移率,可望在临床推广应用。
Objective To compare the effect of laparoscopy and laparotomy in surgical treatment of early-stage ovarian cancer.Methods The outcomes of 58 patients with early-stage ovarian cancer who underwent laparoscopic（laparoscopic group,20） or laparotomic（laparotomic group,38） surgical staging from June 2007 to Journey 2010 were retrospectively estimated.The Intraoperative parameters and postoperative complications were compared between the two groups.Results Laparoscopic group had less intraoperative blood loss [（104.5±64.8） ml vs（255.1±44.3）ml],（P0.01）,and shorter gastrointestinal recovery time [（39.6±10.4）h vs（53.1±13.9）h],（P0.01）.when compared with LPT group.There was no significant difference in operation time,numbers of resected lymph nodes,and postoperative rate of complications between the two groups（P0.05）.Conclusions Laparoscopy shows less trauma and more rapidly recovery than laparotomy.They had similar surgical staging adequacy and accuracy.Laparoscopic surgical staging is feasible and safe for early-stage ovarian cancer.
出处
《医药论坛杂志》
2012年第1期36-38,共3页
Journal of Medical Forum
关键词
早期卵巢癌
腹腔镜手术
开腹手术
Early-stage ovarian cancer
Laparoscopy
Laparotomy
