论文部分内容阅读
目的:探讨腹腔镜技术在妇科良恶性肿瘤治疗中的临床应用价值。方法:回顾性分析2010年2月～2011年12月间我妇科收治的56例妇科良恶性肿瘤患者的临床资料,根据患者意愿分为两组,其中观察组20例应用腹腔镜诊治,对照组36例采用传统开腹术诊治。观察比较两组的手术时间、麻醉时间、术中出血量、恢复进食时间、术后住院天数及术后并发症发生等情况。结果:所有患者手术全部成功。观察组20例术中因胆囊炎症粘连严重,解剖结构辨别不清转开腹治疗2例;因子宫肌瘤巨大并发生变性转开腹1例;因术中诊断为卵巢癌中转开腹1例。其余16例均在腹腔镜下完成手术。两组患者手术时间、麻醉时间、术中出血量、恢复进食时间、术后住院天数比较差异显著,观察组显著优于对照组(P<0.05)。除对照组3例术后发热引发上呼吸道感染外(经抗感冒药物后治愈),两组患者术后切口无出血和感染,均恢复良好。平均随访1.5年,除对照组1例发生切口疝外,其余均无严重并发生。结论:应用腹腔镜治疗妇科良恶性肿瘤的疗效显著,具有损伤小、痛苦轻、术后恢复快、安全有效、并发症少等优点,可作为治疗妇科良恶性肿瘤的重要手段之一。
Objective: To investigate the clinical value of laparoscopy in the treatment of benign and malignant gynecological tumors. Methods: The clinical data of 56 patients with benign and malignant gynecology admitted to our department of gynecology from February 2010 to December 2011 were retrospectively analyzed. According to their wishes, the patients were divided into two groups. Among them, 20 cases in the observation group were treated by laparoscopy and the control group 36 cases of traditional open surgery diagnosis and treatment. The operation time, anesthesia time, intraoperative blood loss, recovery time to eat, postoperative hospital stay and postoperative complications were observed and compared between the two groups. Results: All patients had successful surgery. Observation group of 20 cases due to severe cholecystitis adhesions, anatomical structure is not clear to open laparotomy in 2 cases; due to a huge uterine fibroids and change to open one case of varicosity; intraoperative diagnosis of ovarian cancer in 1 case of laparotomy . The remaining 16 patients underwent laparoscopic surgery. The operation time, anesthesia time, intraoperative blood loss, recovery time to eat and postoperative hospital stay were significantly different between the two groups. The observation group was significantly better than the control group (P <0.05). In addition to the control group of 3 patients after fever caused by upper respiratory tract infection (anti-cold medication after cure), two groups of patients with postoperative incision without bleeding and infection, were recovered well. The average follow-up of 1.5 years, except for the control group, 1 case of incisional hernia, the rest were not serious and occurred. Conclusions: Laparoscopic treatment of benign and malignant gynecological tumors has significant curative effect. It has the advantages of less injury, less pain, quick recovery after operation, safe and effective, less complications and so on. It can be used as an important method to treat benign and malignant gynecological tumors.