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目的分析和探讨肿瘤外科临床上采用腹腔镜手术在治疗卵巢恶性肿瘤患者的临床疗效。方法对56例卵巢恶性肿瘤患者的临床资料进行分析,探讨采用腹腔镜手术治疗卵巢恶性肿瘤的意义。结果 56例患者经过腹腔镜探查后,6例患者为进展期的卵巢癌患者,由于无法实施最佳肿瘤细胞减灭术,因此仅进行了病理活检以及常规的化疗;39例患者采用肿瘤细胞减灭术或者腹式卵巢癌分期手术进行治疗,均取得不错临床疗效,根据患者对于生育的要求以及肿瘤的性质,对5例索间质肿瘤、4例生殖细胞肿瘤以及2例Ⅰ期上皮性卵巢癌患者实施了保留生育功能的腔镜手术。术后随访表明,所有患者经过临床治疗后均没有出现患者trocar部位的肿瘤细胞种植生长情况,而6例进展期卵巢癌患者3例患者出现trocar部位肿瘤的种植,其临床最主要的特征为患者出现严重的癌性腹水。结论本研究结果表明,肿瘤外科临床上采用腹腔镜手术对卵巢恶性肿瘤患者进行探查和手术治疗均能取得较好结果。该手术与传统的开腹手术相比,给患者带来的伤害较小,能显著改善患者临床治疗效果,因此值得临床借鉴。
Objective To analyze and discuss the clinical efficacy of laparoscopic surgery in the treatment of patients with ovarian cancer. Methods The clinical data of 56 patients with ovarian cancer were analyzed to explore the significance of laparoscopic surgery for ovarian cancer. Results After the laparoscopic exploration of 56 patients, 6 patients were advanced ovarian cancer patients, because of the inability to perform the best cytoreductive surgery, so only biopsy and conventional chemotherapy; 39 patients with tumor cell subtraction Surgery or abdominal ovarian cancer staging surgery, have achieved good clinical efficacy, according to the requirements of patients for reproduction and the nature of the tumor, on 5 cases of stromal tumors, 4 cases of germ cell tumors and 2 cases of stage Ⅰ epithelial ovarian Carcinoma patients have undergone endoscopic surgery to preserve fertility. Postoperative follow-up showed that all patients did not appear in the clinical treatment of tumor growth in patients with trocar site growth, and 6 cases of advanced ovarian cancer in 3 patients with trocar site tumor implantation, the clinical features of the most important patients Serious cancerous ascites appears. Conclusion The results of this study show that clinical application of laparoscopic surgery for malignant ovarian cancer in patients with exploration and surgical treatment can achieve good results. Compared with the traditional laparotomy, the surgery is less harmful to the patient and can significantly improve the clinical effect of the patient. Therefore, it is worthy of clinical reference.