摘要
目的分析腹腔镜手术治疗卵巢良性上皮性肿瘤的临床疗效及安全性。方法选取2011年1月至2013年1月间收治的卵巢良性上皮性肿瘤患者100例。按照随机数表法分为对照组和观察组,每组50例。对照组患者采取开腹手术治疗,观察组患者采取腹腔镜手术治疗,观察并比较两组患者术后的疗效。结果观察组患者手术时间、术中出血量、肛门排气时间、下床活动时间、住院时间分别为(50.3±10.3)h、(40.8±12.3)ml、(13.3±4.7)h、(4.8±1.7)d、(3.8±1.2)d,均明显低于对照组,差异有统计学意义(P<0.05)。观察组患者术后1个月、6个月、1年的FACT-G评分分别为(67.6±8.4)分、(83.7±10.2)分和(89.7±10.4)分,均明显高于对照组,差异有统计学意义(P<0.05)。观察组术后有2例(4.0%)患者使用镇痛药,术后并发症发生率及术后1年肿瘤复发率分别为8.0%和0,均明显低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜手术对卵巢良性上皮性肿瘤患者的治疗效果优于开腹手术,是一种安全、有效的治疗方法,值得在临床上广泛推广。
Objective To explore and analyze laparoscopic surgery for benign ovarian epithelial tumors of the clinical efficacy and safety. Methods The patients in Linqu People＇s Hospital from benign epithelial ovarian tumors 100 cases in January 2011 - January 2013 admitted, it is as a clinical study. Ac- cording to a random number table method randomly divided into control group and observation group, 50 ca- ses in each group. The control group of patients taking open surgery, laparoscopic surgery was observed in patients taking treatment. Observe and compare the efficacy of postoperative. Results The patients opera- tive time, blood loss, flatus, ambulation, hospitalization time were （50. 3 ± 10. 3 ） h, （40. 8 ± 12. 3 ） ml, （13.3 ±4. 7） h, （4. 8 ± 1.7） d, （3.8 ± 1.2） d, were significantly shorter than or less than the control group, a significant difference between groups （ t = 7. 348, 8. 326, 11. 436, 6. 376,7. 257, P 〈 0.05）. Pa- tients in the observation group 1 month, 6 months, 1 year FACT-G scores were （ 67. 6 ± 8.4 ） points, （ 83.7 ± 10. 2 ） points, （ 89. 7 ± 10. 4 ） points, were significantly higher, significant difference between groups （t =5. 578, 5. 893, 6. 536, P 〈0. 05） ; observation group were 2 cases （4.0%） patients using an- algesics, less than the control group, the observation group, the overall incidence of postoperative complica- tions and tumor recurrence rate after 1 year were 8. 0%, 0%, significantly lower than the control group, a significant difference between the two groups （Z2 = 13.28, 11.42, 6. 66, P 〈 O. 05 ）, with statistical signif- icance. Conclusion Laparoscopic surgery for treatment of benign ovarian epithelial cancer patients than open surgery, is a safe and effective treatment, it is widely in clinical practice.
出处
《中国肿瘤临床与康复》
2015年第5期590-592,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
腹腔镜手术
开腹手术
卵巢良性上皮性肿瘤
治疗结果
Laparoscopic surgery
Laparotomy
Benign ovarian epithelial tumors
Treat-ment outcome
