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目的探讨早期卵巢癌腹腔镜下全面分期手术的临床效果。方法回顾性分析37例行腹腔镜下全面分期手术早期卵巢癌患者(腹腔镜组)及同期行开腹确定行分期手术的42例患者(开腹组)临床资料,比较两组的临床效果。结果两组均顺利完成手术。腹腔镜组术中出血量、术后下床时间、术后排气时间和术后住院时间均少于开腹组(P<0.05),但手术时间长于开腹组(P<0.05)。术后随访6-36个月,两组患者术后并发症发生率、术后卵巢癌分期上升发生率、术后化疗率和化疗疗程以及卵巢癌复发率方面均无统计学差异(P>0.05)。结论早期卵巢癌行腹腔镜下全面分期手术的近期手术效果与开腹手术相近,但腹腔镜手术创伤小,术后恢复快,可作为早期卵巢癌全面分期手术治疗的术式。
Objective To investigate the clinical effect of laparoscopic total staging in patients with early ovarian cancer. Methods The clinical data of 37 patients with early ovarian cancer (laparoscopic group) undergoing total laparoscopic staging and 42 patients undergoing laparotomy (open group) undergoing laparoscopic surgery were retrospectively analyzed. The clinical effects of the two groups were compared. Results Both groups completed the operation smoothly. The amount of bleeding, the time to get out of bed, the postoperative exhaust time and the postoperative hospital stay in laparoscopic group were less than those in open group (P <0.05), but the operation time was longer than that in open group (P <0.05). Postoperative follow-up of 6-36 months, postoperative complications in both groups, the incidence of postoperative ovarian cancer staging, postoperative chemotherapy and chemotherapy and recurrence rate of ovarian cancer were not statistically different (P> 0.05 ). Conclusions The recent surgical results of laparoscopic total staging in early ovarian cancer are similar to those of laparotomy. However, trauma of laparoscopic surgery and rapid recovery after laparoscopic surgery can be used as a complete surgical treatment of early stage ovarian cancer.