腹腔镜下手术对晚期上皮卵巢癌患者疗效及预后的影响

更新时间:2023-06-21 15:26:01 阅读: 评论:0

1601历届美国总统
《癌症进展》2020年8月第18卷第15期
formula是什么意思*论著*
ONCOLOGY PROGRESS,Aug2020,V ol.18,No.15腹腔镜下手术对晚期上皮卵巢癌患者疗效及预后的影响
汪玄晖1#,刘辉2,郭红超3遛狗的英文
1焦作煤业(集团)有限责任公司中央医院妇产科,河南焦作454000
wife2修武县人民医院普外科,河南焦作454150
pullout3焦煤中央医院妇产科,河南焦作454150
摘要
:目的探讨腹腔镜手术治疗上皮性卵巢癌晚期患者的临床疗效与预后情况。方法采用随机数字表摘要:
manager什么意思法将118例晚期上皮性卵巢癌患者分为传统组和腹腔镜组,每组59例,开腹下初次肿瘤细胞减灭术或中间型瘤体减灭术治疗,腹腔镜组患者接受腹腔镜下初次肿瘤细胞减灭术或中间型瘤体减灭术治疗。比较两组患者一般围手术期指标;随访3年比较两组患者无进展生存时间(PFS)与总生存时间(OS);比较两组患者的并发症发生情况。结果腹腔镜组患者手术用时、肛门排气时间、住院时间和术后开始化疗时间均短于传统组患者,术中出血量、术中输血率和术中损伤率均低于传统组患者,差异均有统计学意义(P﹤0.05)。传统组患者平均OS为36.13个月,短于腹腔镜组患者的38.68个月,差异有统计学意义(P﹤0.05)。传统组患者平均PFS为28.90个月,明显短于腹腔镜组患者的34.75个月,差异有统计学意义(P﹤0.01)。腹腔镜组患者并发症总发生率为18.64%,明显低于传统组患者的47.46%,差异有统计学意义(P﹤0.01)。结论腹腔镜手术能够提高上皮卵巢癌晚期患者的临床疗效与安全性,延长患者生存时间。
父亲节快乐用英语怎么说关键词:
关键词
:上皮性卵巢癌;腹腔镜;开腹术;生存率
文献标志码:
737..31文献标志码
porpoi:A doi:10.11877/j.issn.1672-1535.2020.18.15.24
:R737
中图分类号:
中图分类号
Influence of laparoscopic surgery on the clinical efficacy and prognosis of patient with advanced epithelial ovarian cancertipping
WANG Xuanhui1#,LIU Hui2,GUO Hongchao3
1Department of Obstetrics and Gynecology,Central Hospital of Jiaozuo Coal Industry Group Co.,Ltd,Jiaozuo454000,He’nan,China
2Department of General Surgery,Xiuwu County People’s Hospital,Jiaozuo454150,He’nan,China
3Department of Obstetrics and Gynecology,Central Hospital of Jiaozuo Coal,Jiaozuo454150,He’nan,China
Abstract:Objective To obrve the clinical efficacy of laparoscopic surgery in the treatment of advanced epithelial ovarian cancer and the prognosis of patients.Method A total of118patients with advanced epithelial ovarian cancer were included in the analysis as conventional surgery group and laparoscopic surgery group according to a random num-ber table,with59cas in each,the conventional surgery group was treated with initial tumor cytoreductive surgery or in-termediate tumor cytoreductive surgery through laparotomy,while the similar procedures were performed through laparos-copy in laparoscopic surgery group.The general perioperative conditions of the two groups were compared,and the pro-gression-free survival time(PFS)and overall survival time(OS)of the two groups were compared during a three-year fol-low-up.The incidence of complications were also compared between the two groups of patients.Result The operative time,time to anal exhaust,hospitalization time,and time to initiating postoperative chemotherapy were all shorter in lapa-roscopic surgery group versus conventional surgery group,with lower intraoperative blood loss,fewer patients requiring intraoperative blood transfusion and reduced rate of intraoperative injury obrved in laparoscopic surgery group com-pared to conventional surgery group(P<0.05).The average OS in conventional surgery group was36.13months,which was evidently lower compared to the38.68months in laparoscopic surgery group(P<0.05).The average PFS was28.90 months in conventional surgery group,and it was significantly less compared to the34.75m
ignoredonths in laparoscopic surgery group(P<0.01).18.64%patients in laparoscopic surgery group developed complications,while the incidence rate of com-plications in conventional surgery group was as high as47.46%(P<0.01).Conclusion Compared with traditional group, laparoscopic surgery offers improved clinical efficacy and safety for patients with advanced epithelial ovarian cancer,pro-longing the survival time.
Key words:epithelial ovarian cancer;laparoscope;laparotomy;survival rate
Oncol Prog,2020,18(15)卵巢癌是妇科常见的恶性肿瘤,严重威胁女性健康和生命安全[1-3]。上皮性卵巢癌属于卵巢癌的#通信作者(corresponding author),邮箱:**********************

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