腹腔镜手术治疗妇科恶性肿瘤疗效观察

目的 探讨腹腔镜手术治疗妇科恶性肿瘤的临床效果.方法 将腹腔镜手术治疗的妇科恶性肿瘤患者35例作为观察组.同时选择同期内选择开腹手术的35例患者作为对照组.观察并比较两组的术中状况、术后并发症的发生情况及术后生存率等.结果 两组手术时间、3年生存率比较差异无统计学意义(P＞0.05);观察组术中出血量(458±118)ml、住院时间(12.5±2.1)d和体温恢复时间(4.2±2.5)d均显著低于对照组(P＜0.05).术后观察组发生尿潴留2例,泌尿系感染1例,下肢静脉血栓1例;对照组发生尿潴留3例,肠梗阻1例,下肢静脉血栓1例,腹壁切口感染1例,差异有统计学意义(P＜0.05).结论 腹腔镜手术治疗妇科肿瘤的效果与开腹手术相当,且具有创伤小、恢复快等优点.

Clinical anlysis of Laparoscopic surgery in treatment gynecological malignancies

Objective To investigate the clinical effect of laparoscopic surgery on gynecologic malignancies, providing information for the clinical therapy. Methods 35 patients with gynecologic malignancies treated with lapa- roseopic surgery were selected as the observation group. While 35 cases of abdominal surgery patients were selected as control group at the same period. The incidence of postoperative complications, survival rate and other conditions of the two groups were observed and compared. Results The operation time of laparoscopic surgery group was longer than open surgery group, no significant difference between the two groups （P 〉 0.05 ）. Blood loss, hospital stay and recovery time of body temperature of the laparoscopic surgery group was significantly lower than open surgery group （ P 〈 0. 05）. 2 eases had urinary retention, 1 urinary tract infection and 1 deep vein thrombosis occured in observation group;while 3 urinary retention cases, 1 intestinal obstruction case, l deep vein thrombosis case, 1 abdominal wound infection case occured in control group ,and the difference was significant（ P 〈 0.05 ）. 2 patients lost in each group. 3- year survival rate of laparoseopic surgery group was similar with open surgery, the difference between the two groups was not statistically significant（ P 〈 0.01 ）. Conclusion Excision and pelvic lymph node dissection under laparosco- py is an effective method in treatment of gynecologic cancer, and with less trauma and faster recovery.