腹腔镜与开腹手术治疗早期卵巢癌的临床疗效对比
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摘要
目的对比分析腹腔镜手术、开腹手术治疗早期卵巢癌的效果。方法将2015年3月—2017年9月在该院接受治疗的100例早期卵巢癌患者分为对照组50例(开腹手术)和观察组50例(腹腔镜手术)。比较术中、术后指标以及随访指标、性生活质量。结果观察组术中失血量(123.65±62.37)mL更少,排气时间(1.41±0.48)d、住院天数(8.64±1.23)d更短(t=8.601、9.313、13.384,P=0.000、0.000、0.000),其余术中与术后指标对比差异无统计学意义(P>0.05)。观察组的并发症发生率(4.00%)低于对照组(14.00%)(χ~2=4.000,P=0.046),两组化疗率和复发率差别都不大(P>0.05),术后观察组的性生活质量得分[(7.15±1.16)分、(8.21±1.05)分、(8.53±0.58)分、(25.25±1.01)分]比对照组高(t=9.671、13.798、14.825、24.443,P=0.000、0.000、0.000、0.000)。结论早期卵巢癌实施分期手术方案时,采取腹腔镜手术的整体效果比开腹手术好,安全性更高。
Objective To compare the effects of laparoscopic surgery and open surgery for early ovarian cancer. Methods One hundred patients with early ovarian cancer who were treated in our hospital from March 2015 to September2017 were divided into 50 patients in the control group(open surgery) and 50 patients in the observation group(laparoscopic surgery). Compare intraoperative and postoperative parameters as well as follow-up indicators and quality of life.Results In the observation group, the blood loss(123.65±62.37)mL was less, the exhaust time(1.41±0.48)days, and the hospital stay(8.64±1.23)days were shorter(t=8.601, 9.313, 13.384, P=0.000, 0.000, 0.000), the difference between the rest of the intraoperative and postoperative indexes is not significant(P>0.05). The incidence of complications in the observation group(4.00%) was lower than that in the control group(14.00%)(χ~2=4.000, P=0.046). There was no significant difference between the two groups in chemotherapy rate and recurrence rate(P>0.05). The quality of life scores of the post-observation group [(7.15 ±1.16)points,(8.21 ±1.05)points,(8.53 ±0.58)points, 25.25 ±1.01)points] were higher than the control group(t=9.671, 13.798, 14.825, 24.443, P=0.000, 0.000, 0.000, 0.000). Conclusion When the ovarian cancer is implemented in a staged surgical procedure, the overall effect of laparoscopic surgery is better than that of open surgery, and the safety is higher.
Objective To compare the effects of laparoscopic surgery and open surgery for early ovarian cancer. Methods One hundred patients with early ovarian cancer who were treated in our hospital from March 2015 to September2017 were divided into 50 patients in the control group(open surgery) and 50 patients in the observation group(laparoscopic surgery). Compare intraoperative and postoperative parameters as well as follow-up indicators and quality of life.Results In the observation group, the blood loss(123.65±62.37)mL was less, the exhaust time(1.41±0.48)days, and the hospital stay(8.64±1.23)days were shorter(t=8.601, 9.313, 13.384, P=0.000, 0.000, 0.000), the difference between the rest of the intraoperative and postoperative indexes is not significant(P>0.05). The incidence of complications in the observation group(4.00%) was lower than that in the control group(14.00%)(χ~2=4.000, P=0.046). There was no significant difference between the two groups in chemotherapy rate and recurrence rate(P>0.05). The quality of life scores of the post-observation group [(7.15 ±1.16)points,(8.21 ±1.05)points,(8.53 ±0.58)points, 25.25 ±1.01)points] were higher than the control group(t=9.671, 13.798, 14.825, 24.443, P=0.000, 0.000, 0.000, 0.000). Conclusion When the ovarian cancer is implemented in a staged surgical procedure, the overall effect of laparoscopic surgery is better than that of open surgery, and the safety is higher.
引文
[1]翟振波,张彬玉,张秀珍,等.腹腔镜和开腹手术治疗早期卵巢癌的临床分析[J].现代肿瘤医学,2017,25(11):1770-1773.
[2]江彩霞,程忠平.腹腔镜与开腹手术在早期卵巢癌全面分期手术中的疗效和并发症比较[J].国际妇产科学杂志,2016,43(5):528-538.
[3]翟振波,张彬玉,张秀珍,等.腹腔镜和开腹手术对早期卵巢癌患者术后心理状态和生活质量的影响[J].现代肿瘤医学,2017,25(14):2291-2294.
[4]陶巍.腹腔镜手术与开腹手术治疗早期卵巢癌的比较研究[J].湖南中医药大学学报,2018,38(A01):1247-1248.
[5]马淑娟,马进海.腹腔镜与开腹手术对早期卵巢癌患者术后恢复和心理状态影响的临床对比研究[J].中国医师杂志,2018,20(9):1421-1423.
[6]王文娟,吴海波,杨琴,等.腹腔镜和开腹手术在卵巢癌二次探查术中的应用效果比较[J].现代生物医学进展,2017,17(2):295-297.
[7]赵鲁文,宋晓莉,于爱军,等.腹腔镜和开腹在早期卵巢癌全面分期手术中疗效的Meta分析[J].中国全科医学,2015,18(2):184-190.
[8]胡辉权,文婧,李均,等.早期卵巢癌腹腔镜与开腹分期手术的临床疗效比较[J].西部医学,2014,26(12):1633-1634.
[9]于文娜,范秀华,祖玲玉,等.手助腹腔镜与开腹卵巢癌肿瘤细胞减灭术的比较研究[J].河北医药,2018,40(19):2900-2903.
[10]王永军,韩肖彤,王建六.腹腔镜联合开腹肿瘤细胞减灭术在复发性卵巢癌中的应用(附2例报告)[J].中国微创外科杂志,2018,18(2):181-183.
[11]付霞霏,刘木彪.腹腔镜器械在开腹卵巢癌肿瘤细胞减灭术中的应用[J].中国微创外科杂志,2014,14(8):677-679.
[12]窦莎,李艺,崔恒.腹腔镜评估预测晚期卵巢癌满意肿瘤细胞减灭术的研究进展[J].中国妇产科临床杂志,2018,19(4):374-376.
[13]高伟超,李佳,刘侠,等.开腹卵巢癌肿瘤细胞减灭术中应用腹腔镜器械与传统手术的对比探析[J].中国医疗器械信息,2016,22(11X):40-41.
[14]余炜昶,王燕,郎雁,等.腹腔镜下早期卵巢癌全面分期手术的随访观察[J].中国内镜杂志,2016,22(10):37-42.
[2]江彩霞,程忠平.腹腔镜与开腹手术在早期卵巢癌全面分期手术中的疗效和并发症比较[J].国际妇产科学杂志,2016,43(5):528-538.
[3]翟振波,张彬玉,张秀珍,等.腹腔镜和开腹手术对早期卵巢癌患者术后心理状态和生活质量的影响[J].现代肿瘤医学,2017,25(14):2291-2294.
[4]陶巍.腹腔镜手术与开腹手术治疗早期卵巢癌的比较研究[J].湖南中医药大学学报,2018,38(A01):1247-1248.
[5]马淑娟,马进海.腹腔镜与开腹手术对早期卵巢癌患者术后恢复和心理状态影响的临床对比研究[J].中国医师杂志,2018,20(9):1421-1423.
[6]王文娟,吴海波,杨琴,等.腹腔镜和开腹手术在卵巢癌二次探查术中的应用效果比较[J].现代生物医学进展,2017,17(2):295-297.
[7]赵鲁文,宋晓莉,于爱军,等.腹腔镜和开腹在早期卵巢癌全面分期手术中疗效的Meta分析[J].中国全科医学,2015,18(2):184-190.
[8]胡辉权,文婧,李均,等.早期卵巢癌腹腔镜与开腹分期手术的临床疗效比较[J].西部医学,2014,26(12):1633-1634.
[9]于文娜,范秀华,祖玲玉,等.手助腹腔镜与开腹卵巢癌肿瘤细胞减灭术的比较研究[J].河北医药,2018,40(19):2900-2903.
[10]王永军,韩肖彤,王建六.腹腔镜联合开腹肿瘤细胞减灭术在复发性卵巢癌中的应用(附2例报告)[J].中国微创外科杂志,2018,18(2):181-183.
[11]付霞霏,刘木彪.腹腔镜器械在开腹卵巢癌肿瘤细胞减灭术中的应用[J].中国微创外科杂志,2014,14(8):677-679.
[12]窦莎,李艺,崔恒.腹腔镜评估预测晚期卵巢癌满意肿瘤细胞减灭术的研究进展[J].中国妇产科临床杂志,2018,19(4):374-376.
[13]高伟超,李佳,刘侠,等.开腹卵巢癌肿瘤细胞减灭术中应用腹腔镜器械与传统手术的对比探析[J].中国医疗器械信息,2016,22(11X):40-41.
[14]余炜昶,王燕,郎雁,等.腹腔镜下早期卵巢癌全面分期手术的随访观察[J].中国内镜杂志,2016,22(10):37-42.