摘要
目的:探讨腹腔镜技术在妇科良恶性肿瘤治疗中的临床应用价值。方法:回顾性分析2010年2月~2011年12月间我妇科收治的56例妇科良恶性肿瘤患者的临床资料,根据患者意愿分为两组,其中观察组20例应用腹腔镜诊治,对照组36例采用传统开腹术诊治。观察比较两组的手术时间、麻醉时间、术中出血量、恢复进食时间、术后住院天数及术后并发症发生等情况。结果:所有患者手术全部成功。观察组20例术中因胆囊炎症粘连严重,解剖结构辨别不清转开腹治疗2例;因子宫肌瘤巨大并发生变性转开腹1例;因术中诊断为卵巢癌中转开腹1例。其余16例均在腹腔镜下完成手术。两组患者手术时间、麻醉时间、术中出血量、恢复进食时间、术后住院天数比较差异显著,观察组显著优于对照组(P<0.05)。除对照组3例术后发热引发上呼吸道感染外(经抗感冒药物后治愈),两组患者术后切口无出血和感染,均恢复良好。平均随访1.5年,除对照组1例发生切口疝外,其余均无严重并发生。结论:应用腹腔镜治疗妇科良恶性肿瘤的疗效显著,具有损伤小、痛苦轻、术后恢复快、安全有效、并发症少等优点,可作为治疗妇科良恶性肿瘤的重要手段之一。
Purpose:Laparoscopic techniques discussed in gynecology benign and malignant tumor of clinical application value.Methods:Retrospective analysis in February 2010 to December 2011 were between I gynecology 56 cases of gynecological cancer patients is the clinical data,according to the patient will divided into two groups,including the observation group 20 cases of application of laparoscopic make a diagnosis and give treatment,the control group with traditional open surgery 36 cases of diagnosis and treatment.Study the curative effect of two.The results:All patients all successful operation.The observation group curative effect is significantly better than the control group(P 0.05).The observation group the postoperative complications have significantly less than the control group(P0.05).Conclusion:Application of laparoscopic treatment of gynecological tumors curative effect is distinct,and can be used for treatment of gynecological malignancy is one of the important methods.
出处
《求医问药(下半月刊)》
2012年第8期728-729,共2页
Seek Medical and Ask The Medicine
关键词
腹腔镜
妇科
良恶性肿瘤
诊治
Laparoscopic
Gynecology
Benign and malignant tumor
Diagnosis and treatment