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目的探讨腹腔镜手术在妇科肿瘤中的适应证情况。方法 68例妇科肿瘤患者为研究对象,随机分为开腹组和腹腔镜组,各34例,对两组患者的手术相关指标进行对比分析。结果腹腔镜组手术进腹与缝合腹壁时间短且恒定,不受手术大小与腹壁脂肪厚度的影响,对<10 cm卵巢囊肿与<3个月妊娠大小子宫肌瘤手术,其手术过程及时间与开腹手术相比,差异无统计学意义(P>0.05)。肿瘤与囊肿越大,腹腔镜手术难度也会随之增加,导致手术时间延长,开腹手术效果更佳。腹腔镜下处理恶性肿瘤,效果与开腹手术一致。结论腹腔镜手术主要适用于小子宫肌瘤或卵巢囊肿,对子宫恶性肿瘤处理或上腹部探查,其效果与开腹手术一致。腹腔镜手术因腹腔干扰小,创伤小,术后可快速恢复,值得临床推广使用。
Objective To investigate the indications of laparoscopic surgery in gynecologic oncology. Methods Sixty-eight patients with gynecologic cancer were randomly divided into open group and laparoscopic group, with 34 cases in each group. The operation-related indexes of the two groups were compared and analyzed. Results Laparoscopic surgery in the abdomen and suture of the abdominal wall time is short and constant, free from the size of the surgery and the impact of abdominal fat thickness, ovarian cyst <10 cm and <3 months pregnant uterine fibroids the size of the surgical procedure and time and There was no significant difference between open surgery and open surgery (P> 0.05). Larger tumors and cysts, laparoscopic surgery will also increase the difficulty, leading to extended operation time, open surgery better results. Laparoscopic treatment of malignant tumors, the effect is consistent with open surgery. Conclusion Laparoscopic surgery is mainly applied to small uterine fibroids or ovarian cysts, the treatment of uterine malignancies or upper abdominal exploration, the effect is consistent with open surgery. Laparoscopic surgery due to small abdominal interference, small trauma, rapid recovery after surgery, it is worth promoting the use of the clinic.