腹腔镜手术治疗妇科肿瘤的效果

Effect of laparoscopic surgery in the treatment of gynecological tumors

目的探讨腹腔镜手术治疗妇科肿瘤的效果。方法 100例妇科肿瘤患者,根据手术方法不同分为对照组和观察组,每组50例。对照组患者采用传统手术治疗,观察组患者采用腹腔镜手术治疗。比较两组患者临床手术效果,手术时间、手术切口长度、肛门排气时间、术后愈合时间和住院时间,手术前后患者生活质量量表(QOL)评分,并发症发生情况。结果观察组患者总有效率为100.00%,高于对照组的70.00%,差异具有统计学意义(P<0.05)。手术前,两组患者QOL评分比较差异无统计学意义(P>0.05);手术后,两组患者QOL评分均高于本组手术前,且观察组高于对照组,差异具有统计学意义(P<0.05)。观察组患者手术时间、手术切口长度、肛门排气时间、术后愈合时间和住院时间均短于对照组,差异具有统计学意义(P<0.05)。观察组患者并发症发生率为6.00%,低于对照组的22.00%,差异具有统计学意义(P<0.05)。结论妇科肿瘤患者行腹腔镜手术疗效肯定,可有效减少并发症和减轻手术创伤,切口小,愈合快,康复快,可改善患者生活质量。

Objective To investigate the effect of laparoscopic surgery in the treatment of gynecological tumors. Methods One hundred patients with gynecological tumors were divided into control group and observation group according to different surgical methods, 50 cases in each group. Patients in the control group were treated by traditional surgery, patients in the observation group were treated by laparoscopic surgery. The clinical surgical effect, operative time, surgical incision length, anal exhaust time, postoperative healing time and length of stay, preoperative and postoperative quality of life scale（QOL） score, the occurrence of complications between the two groups were compared. Results The total effective rate of the observation group was 100.00%, which was significantly higher than 70.00% of the control group, the difference was statistically significant（P〈0.05）. Before surgery, there was no significant difference in the QOL score between the two groups（P〈0.05）. After surgery, the QOL scores of the two groups were significantly higher than those before surgery, and the QOL score of the observation group was significantly higher than the control group, the differences were statistically significant（P〈0.05）. The operative time, surgical incision length, anal exhaust time, postoperative healing time and length of stay in the observation group were significantly shorter than those in the control group, the differences were statistically significant（P〈0.05）. The incidence of complications in the observation group was 6.00%, which was significantly lower than 22.00% in the control group, the difference was statistically significant（P〈0.05）. Conclusion Laparoscopic surgery for patients with gynecological tumors has a definite effect, can effectively reduce complications and surgical trauma, with small incision, quick healing, quick recovery, and can improve the quality of life of patients.