CAJ | 학술논문

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.
목적 탐토복강경수술치료부과악성종류적림상효과.방법 장복강경수술치료적부과악성종류환자35례작위관찰조.동시선택동기내선택개복수술적35례환자작위대조조.관찰병비교량조적술중상황、술후병발증적발생정황급술후생존솔등.결과 량조수술시간、3년생존솔비교차이무통계학의의(P＞0.05)；관찰조술중출혈량(458±118)ml、주원시간(12.5±2.1)d화체온회복시간(4.2±2.5)d균현저저우대조조(P＜0.05).술후관찰조발생뇨저류2례,비뇨계감염1례,하지정맥혈전1례；대조조발생뇨저류3례,장경조1례,하지정맥혈전1례,복벽절구감염1례,차이유통계학의의(P＜0.05).결론 복강경수술치료부과종류적효과여개복수술상당,차구유창상소、회복쾌등우점.
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 laparoscopic 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 slay and recovery time of body temperature of the laparoscopic surgery group was significantly lower than open surgery group ( P ＜0,05).2 cases 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,1 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 laparoscopic 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 laparoscopy is an effective method in treatment of gynecologic cancer,and with less trauma and faster recovery.