对比研究腹腔镜手术与开腹术治疗早期卵巢癌的临床效果以及安全性

摘要

Objective:To investigate and compare the clinical effect of laparoscopic operation and laparotomy in the treatment of early ovarian cancer.Methods:80 cases of patients with early ovarian cancer were randomly divided into the observation group and the control group,with 40 cases in each group.The control group received laparotomy treatment and the observation group underwent laparoscopic treatment.The clinical effect of the two groups were observed and the index including operation time,and intraoperative bleeding volume in the two groups were compared.Results:After the treatment,the intraoperative bleeding volume, postoperative anal exhaust time in the observation group were significantly lower than that of the control group,and the differences were statistically significant(P<0.05).The operation time of the observation groups was higher than that of the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications,recurrence rate and mortality of the observation group were lower than that of the control group,and the differences were statistically significant(P<0.05). Conclusion:In the clinical treatment of early ovarian cancer,laparoscopic surgery has good clinical effect and lower adverse reaction,worth the clinical promotion and application.%目的：探讨及比较腹腔镜手术与开腹术治疗早期卵巢癌的临床效果。方法：2013年2月-2014年2月收治早期卵巢癌患者80例，随机分为观察组和对照组，每组40例。对照组接受开腹术治疗，观察组接受腹腔镜治疗，观察两组患者的临床效果，比较两组患者的手术时间、术中出血量等指标。结果：治疗后，观察组术中出血量、术后排气时间显著低于对照组，组间比较差异具有统计学意义(P＜0.05)。观察组手术时间多于对照组，组间比较差异具有统计学意义(P＜0.05)。观察组术后并发症的发生率、复发率及死亡率均低于对照组，差异具有统计学意义(P＜0.05)。结论：在早期卵巢癌的临床治疗过程中，腹腔镜手术具有较好的临床效果，不良反应较低，值得临床推广和使用。