【作者】 王蕾；

【导师】 马彩玲；

【作者基本信息】 新疆医科大学 ， 妇产科学（专业学位）， 2017， 硕士

【摘要】 目的:比较腹腔镜手术和开腹手术,两种手术方式治疗早期卵巢癌(I-IIa)的安全性及可行性分析。方法:选取在2006-2016年间就诊于新疆医科大学第一附属医院妇科且诊断为早期卵巢癌的患者,并且在我院妇科接受根治性手术治疗的患者,手术治疗分为腹腔镜下早期卵巢癌根治术及经腹早期卵巢癌根治术,将符合纳入标准的患者根据接受手术方式不同分为实验组(接受腹腔镜手术治疗),对照组(接受开腹手术治疗)。采用SPSS软件对两组患者的手术时间、术中出血量、盆腔淋巴结清扫数、住院时间长度、术后并发症、术后肛门排气时间、进行统计学分析。结果:共纳入100例早期卵巢癌患者的相关临床病例,其中包括63例LPS(观察组:经腹腔镜治疗早期卵巢癌)患者和37例LPT(对照组:经开腹治疗早期卵巢癌)患者,接受两种手术治疗后,对比两组患者的术中出血量、术后相关并发症、总体的住院时间长度、手术后的肛门排气时间低于对照组,两组患者之间的比较差具有异具有统计学意义(P<0.05)。手术时间、盆腔淋巴结清扫数差异无统计学意义(P<0.05)。结论:临床治疗早期卵巢癌的手术方案中,腹腔镜对于早期卵巢癌的治疗有较好的安全性及可行性。术中及术后的相关并发症及不良预后,临床上有一定的推广价值。更多还原

【Abstract】 Objective: To compare laparoscopic surgery and laparotomy,two surgical treatment of early ovarian cancer(I-IIa)the safety and feasibility analysis.Methods: in the period of2006-2016 treatment in the First Affiliated Hospital of Xinjiang Medical University Department of gynecology and diagnosis of early ovarian cancer patients,and in our hospital underwent radical surgery,surgery the patients were divided into laparoscopic radical resection of early ovarian cancer and abdominal radical resection for early ovarian cancer,will meet the inclusion criteria of patients according to different surgical methods were divided into experimental group received(underwent laparoscopic surgery)and control group(treated with open operation)by SP.The operation time of SS software in the two groups of patients,intraoperative bleeding,pelvic lymph nodes,length of hospital stay,postoperative complications,postoperative anal exhaust time,were analyzed.Results:100 cases of patients with early ovarian cancer related clinical cases were included,including 63 cases of LPS(observation group: Laparoscopic the treatment of early ovarian cancer(LPT)patients and 37 cases of control group: after open surgery in the treatment of early ovarian cancer)patients,two received surgical treatment,the amount of bleeding of the two groups were compared intraoperative,postoperative complications,the overall length of hospital stay,postoperative anal exhaust time below The control group,the difference between the two groups compared with wasstatisticallysignificant(P<0.05).The operation time,there was no significant difference in all pelvic lymph node dissection(P<0.05).Conclusion: the surgical clinical treatment of early ovarian cancer,laparoscopy,safety and feasibility of better treatment for early ovarian cancer related complications.Intraoperative and postoperative and poor prognosis,has certain application value in clinic.更多还原