腹腔镜下全面分期手术对早期卵巢癌患者的临床疗效分析  

The Effect of Laparoscopic Comprehensive Staging Surgery on Stress Response and Postoperative Recovery in Early Ovarian Cancer Patients

作　　者：池玉杰 蔡玉洁[1] 宋莺歌 孙瑾励 CHI Yujie;CAI Yujie;SONG Yingge(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000)

机构地区：[1]郑州大学第一附属医院,450000

出　　处：《实用癌症杂志》2024年第5期859-862,共4页The Practical Journal of Cancer

摘　　要：目的探讨早期卵巢癌患者腹腔镜下全面分期手术治疗的临床疗效。方法回顾性分析80例早期卵巢癌患者的临床资料,根据治疗术式的不同进行分组,将接受开腹全面分期手术治疗的40例患者纳入对照组,接受腹腔镜下全面分期手术治疗的40例患者纳入观察组,观察两组手术指标、应激反应、术后恢复情况、并发症发生率。结果观察组术中出血量较对照组少,盆腔淋巴结切除数较对照组多,术后1 d应激反应指标水平较对照组低,下床、肛门排气、引流管留置与住院时间较对照组短,并发症发生率较对照组低(P<0.05)。结论在早期卵巢癌患者治疗中应用腹腔镜下全面分期手术,不仅创伤小、安全性高,而且患者应激反应轻,有助于促进术后恢复,缩短恢复时间。Objective To explore the clinical value of laparoscopic comprehensive staging surgery for early ovarian cancer patients.Methods Retrospectively analyzed the clinical data of 80 early ovarian cancer patients.They were divided into 2 groups based on different treatment methods.40 patients who received comprehensive staged open surgery were included in the control group,and 40 patients who received comprehensive staged laparoscopic surgery were included in the observation group.The surgical indicators,stress reactions,postoperative recovery,and incidence of complications were observed in both groups.Results The observation group had less intraoperative bleeding compared to the control group,more pelvic lymph node resections,lower levels of stress response indicators 1 day after surgery,shorter time to get out of bed,exhaust the anus,indwelling drainage tubes,and hospitalization compared to the control group,and lower incidence of complications compared to the control group(P<0.05).Conclusion The application of laparoscopic comprehensive staging surgery in the treatment of early ovarian cancer patients not only has minimal trauma and high safety,but also has mild stress response,which helps to promote postoperative recovery and shorten recovery time.

关 键 词：腹腔镜 全面分期手术 期卵巢癌 应激反应 术后恢复 

分 类 号：R737.31[医药卫生—肿瘤]