Ⅰ～Ⅱ期卵巢上皮性癌妇女的微创手术效果研究

Effect of minimally invasive surgery on women with stage Ⅰ～Ⅱ ovarian epithelial cancer

目的探讨Ⅰ~Ⅱ期卵巢上皮性癌妇女的微创手术效果。方法选取2014年1月至2017年1月期间陕西省人民医院收治的98例Ⅰ~Ⅱ期卵巢上皮性癌妇女为研究对象,将患者依据随机数字表法分为对照组(49例)和观察组(49例),对照组患者采用开腹手术治疗,观察组患者采用腹腔镜手术治疗。比较两组患者的术中及术后情况和并发症发生情况。结果观察组患者的手术时间、手术切口直径、术中出血量均显著少于对照组患者(t值分别为2.037、2.517、2.389,均P<0.05),两组患者的腹主动脉旁淋巴结切除数和盆腔淋巴结切除数无显著性差异(t值分别为1.619、1.924,均P>0.05)。观察组患者术后肛门排气时间、下床时间、住院时间、VAS评分均显著少于对照组患者(t值分别为2.504、2.917、2.557、2.001,均P<0.05),两组患者的尿管留置时间无显著性差异(t=1.669,P>0.05)。观察组术后并发症总发生率分别为10.20%,显著低于对照组的20.40%(χ~2=6.883,P<0.05)。结论Ⅰ~Ⅱ期卵巢上皮性癌妇女经腹腔镜手术治疗手术创伤轻,术后恢复快,且并发症发生率低,可以在临床上进一步推广和使用。

Objective To investigate the effect of minimally invasive surgery on stageⅠ-Ⅱ ovarian epithelial cancer.Methods A total of 98 cases of stageⅠ-Ⅱ ovarian epithelial cancer were selected from January 2014 to January 2010 in Shaanxi Provincial People＇s Hospital.The patients were divided into control group（49 cases）and observation group（49 cases）according to random number table.The patients in the control group were treated with laparotomy,while the patients in the observation group were treated with laparoscopic surgery.Comparison was made between two groups in terms of intraoperative and postoperative conditions and complications.Results The operation duration,surgical incision diameter and intraoperative blood loss in the observation group were significantly less than those in the control group（t value was 2.037,2.517 and 2.389,respectively,all P〈0.05）.There was no significant difference in number of abdominal aortic and pelvic lymph node dissection between two groups（t value was 1.619 and1.924,respectively,both P〈0.05）.The postoperative anal exhaust time,out of bed time,length of hospital stay,and VAS scores in the observation group were significantly less than in the control group（t value was 2.504,2.917,2.557 and 2.001,respectively,all P〈0.05）.But there was no significant difference in urinary tube indwelling time between two groups（t=1.669,P〈0.05）.The total incidence of postoperative complications of the observation group was 10.20%,which was significantly lower than that in the control group（20.40%）（χ~2=6.883,P〈0.05）.Conclusion Laparoscopic surgery for patients with stage Ⅰ-Ⅱovarian epithelial cancer has the characteristics of mild trauma,rapid postoperative recovery and low incidence of complications,so it can be further popularized and used clinically.