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目的探讨应用腹腔镜在妇科恶性肿瘤患者治疗过程中较开腹手术在疼痛、诊断及疗效上的优越性。方法将130例妇科恶性肿瘤患者按照手术方法随机分为对照组65例、观察组65例,分别采用腹腔镜和开腹手术,对照两组患者治疗后的疼痛指数、手术时间、淋巴清扫数量、术后随访5年对照两组患者转移率、复发率、死亡率及5年存活率。结果两组患者疼痛指数、手术时间比较(t=4.55、5.12,P<0.05,具有显著性差异);两组淋巴清扫数量比较(t=2.11,P>0.05,无显著性差异);术后随访5年两组患者转移率、复发率、死亡率及5年存活率比较(x~2=5.44、5.66、4.11、5.33,P<..05,具有显著性差异)。结论腹腔镜治疗妇科恶性肿瘤具有安全可靠术后预后良好的优势。
Objective To investigate the advantages of laparoscopy in the treatment of gynecological malignant tumors compared with laparotomy in pain, diagnosis and efficacy. Methods A total of 130 patients with gynecological malignant tumors were randomly divided into control group (65 cases) and observation group (65 cases). Laparoscopy and laparotomy were used respectively to compare the pain index, operation time, lymphadenectomy, After 5 years of follow-up, the metastasis rate, recurrence rate, mortality rate and 5-year survival rate of two groups were compared. Results The pain index and operative time of two groups were significantly different (t = 4.55, 5.12, P <0.05, t = 2.11, P> 0.05) Follow up of 5 years, the metastasis rate, relapse rate, mortality rate and 5-year survival rate in two groups were compared (x ~ 2 = 5.44,5.66,4.11,5.33, P <0.05). Conclusions Laparoscopic treatment of gynecological malignancies is safe and reliable with good prognosis.