本文關(guān)鍵詞：腹腔鏡治療早期卵巢癌的臨床研究　出處：《新疆醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 腹腔鏡 開(kāi)腹 早期卵巢癌 臨床療效 可行性

【摘要】：目的:比較腹腔鏡手術(shù)和開(kāi)腹手術(shù),兩種手術(shù)方式治療早期卵巢癌(I-IIa)的安全性及可行性分析。方法:選取在2006-2016年間就診于新疆醫(yī)科大學(xué)第一附屬醫(yī)院婦科且診斷為早期卵巢癌的患者,并且在我院婦科接受根治性手術(shù)治療的患者,手術(shù)治療分為腹腔鏡下早期卵巢癌根治術(shù)及經(jīng)腹早期卵巢癌根治術(shù),將符合納入標(biāo)準(zhǔn)的患者根據(jù)接受手術(shù)方式不同分為實(shí)驗(yàn)組(接受腹腔鏡手術(shù)治療),對(duì)照組(接受開(kāi)腹手術(shù)治療)。采用SPSS軟件對(duì)兩組患者的手術(shù)時(shí)間、術(shù)中出血量、盆腔淋巴結(jié)清掃數(shù)、住院時(shí)間長(zhǎng)度、術(shù)后并發(fā)癥、術(shù)后肛門排氣時(shí)間、進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:共納入100例早期卵巢癌患者的相關(guān)臨床病例,其中包括63例LPS(觀察組:經(jīng)腹腔鏡治療早期卵巢癌)患者和37例LPT(對(duì)照組:經(jīng)開(kāi)腹治療早期卵巢癌)患者,接受兩種手術(shù)治療后,對(duì)比兩組患者的術(shù)中出血量、術(shù)后相關(guān)并發(fā)癥、總體的住院時(shí)間長(zhǎng)度、手術(shù)后的肛門排氣時(shí)間低于對(duì)照組,兩組患者之間的比較差具有異具有統(tǒng)計(jì)學(xué)意義(P0.05)。手術(shù)時(shí)間、盆腔淋巴結(jié)清掃數(shù)差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:臨床治療早期卵巢癌的手術(shù)方案中,腹腔鏡對(duì)于早期卵巢癌的治療有較好的安全性及可行性。術(shù)中及術(shù)后的相關(guān)并發(fā)癥及不良預(yù)后,臨床上有一定的推廣價(jià)值。
[Abstract]:Objective: to compare laparoscopic surgery with open surgery. Two surgical methods for the treatment of early ovarian cancer (I-IIa). Methods: select the gynecological patients who were diagnosed as early ovarian cancer in the first affiliated Hospital of Xinjiang Medical University from 2006 to 2016. And in our hospital gynecological patients undergoing radical surgery, the surgical treatment is divided into laparoscopic early ovarian cancer radical surgery and transabdominal early ovarian cancer radical surgery. The patients who met the inclusion criteria were divided into two groups according to the different methods of operation: the experimental group (receiving laparoscopic surgery and the control group). The operation time of the two groups was treated with SPSS software. Intraoperative bleeding, pelvic lymph node dissection, length of stay, postoperative complications, postoperative anal exhaust time, statistical analysis. Results: 100 patients with early ovarian cancer were included in the clinical cases. There were 63 patients with LPS (observation group: laparoscopic treatment of early ovarian cancer) and 37 patients with LPT (control group: open treatment of early ovarian cancer) after two kinds of surgical treatment. The volume of intraoperative bleeding, postoperative complications, total length of hospital stay, and anal exhaust time after operation were compared between the two groups as compared with those in the control group. The difference between the two groups was statistically significant (P 0.05). There was no significant difference in the number of pelvic lymph nodes dissection (P 0.05). Conclusion: in the surgical treatment of early ovarian cancer, there is no significant difference in the number of pelvic lymph nodes. Laparoscopy is safe and feasible for the treatment of early ovarian cancer.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R737.31

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