CAJ | 학술논문

目的：比较早期卵巢癌腹腔镜与开腹分期手术的临床效果。方法按照随机数字表法将32例早期卵巢癌患者均分为实验组和对照组，分别给予腹腔镜手术与开腹分期治疗，比较2组治疗效果。结果实验组患者术中出血量、术中输血率、子宫切除率均明显低于对照组，淋巴结切除个数明显多于对照组，差异均有统计学意义（P＜0．05）；2组患者手术时间比较，差异无统计学意义（ P＞0．05）；实验组患者术后排气时间、平均住院时间明显短于对照组，差异均有统计学意义（P＜0．05）；实验组患者术后并发症发生率和分期上升率均明显低于对照组，差异有统计学意义（P＜0．05）。2组患者术后化疗率、复发率比较，差异无统计学意义（P＞0．05）；2组患者术后性生活质量、泌尿道症状及植物神经功能失调症状评分比较，差异无统计学意义（P＞0．05）。结论腹腔镜手术具有创伤小、子宫切除率低、淋巴结清扫效果好、术后恢复快、并发症和分期上升率低等临床优势，在促进患者性生活质量、泌尿道症状及植物神经功能失调症状恢复方面能够达到开腹手术的效果，可作为优选治疗手段。
목적：비교조기란소암복강경여개복분기수술적림상효과。방법안조수궤수자표법장32례조기란소암환자균분위실험조화대조조，분별급여복강경수술여개복분기치료，비교2조치료효과。결과실험조환자술중출혈량、술중수혈솔、자궁절제솔균명현저우대조조，림파결절제개수명현다우대조조，차이균유통계학의의（P＜0．05）；2조환자수술시간비교，차이무통계학의의（ P＞0．05）；실험조환자술후배기시간、평균주원시간명현단우대조조，차이균유통계학의의（P＜0．05）；실험조환자술후병발증발생솔화분기상승솔균명현저우대조조，차이유통계학의의（P＜0．05）。2조환자술후화료솔、복발솔비교，차이무통계학의의（P＞0．05）；2조환자술후성생활질량、비뇨도증상급식물신경공능실조증상평분비교，차이무통계학의의（P＞0．05）。결론복강경수술구유창상소、자궁절제솔저、림파결청소효과호、술후회복쾌、병발증화분기상승솔저등림상우세，재촉진환자성생활질량、비뇨도증상급식물신경공능실조증상회복방면능구체도개복수술적효과，가작위우선치료수단。
Objective To explore the clinical effects of of laparoscope and open staging surgery for early ovarian cancer. Methods 32 cases of patients with early ovarian cancer were randomly divided into the experiment group and the control group. The experiment group were treated by laparoscope surgery,the control group were treated by open staging surgery.The clinical effects were compared.Results The intraoperative blood loss,intraoperative blood transfusion rate,uterus resection in the experi-ment group were lower than that of the control group(P<0.05);The number of lymph node excision in the experiment group were higher than that of the control group(P<0.05);There had no significant difference in the time of operation(P>0.05);The post-operative exhaust time in the experiment group were less than that of the control group(P<0.05);There had no significant differ-ence in the hospital stay after operation(P>0.05);There had no significant difference in the quality of sexual life,urinary tract symptoms,plant nerve dysfunction symptom scores(P>0.05).Conclusion It has many clinic advantage such as minimal trau-ma,low uterus resection rate,good lymph node cleaning effect,fast recovery after the operation,complications and staging low in-creasing rate,it has good clinical effects in quality of sexual life,urinary tract symptoms,plant nerve function disorder.It can be used as optimal treatment.