机器人辅助腹腔镜手术对卵巢癌的治疗效果及其术后预后不良的影响因素分析
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中图分类号R699.7R737.31 TP242 文献标识码A 文章编号2096-7721（2025）08-1330-07
Robot-assisted laparoscopic surgery for ovarian cancer： therapeutic efficacy and influencing factors analysis for postoperative adverse prognosis
SHUYuyuan，XIANGLi，LYUWei
（DepartmentofGyecologyWuhanNo.1Hospital/WuhanHspitalofditioalCneseandWesteMedicine，Wuhana）
AbstractObjective：Toinvestigatetheeficacyofrobot-asistedlaparosopicsurgeryforovarancanerandanalyeitsiskfacto foradversepostoperativeprogosis.Methods：Aretrospectiveanalysisasconductedon9ovarancancerpatientshowretreatedat WuhanNo.1HospitalfromMay2toMayO3.Patientsweredividedintotheroboticgroup（n=58）andtheconventionallpaoscopic group n =40）basedonsurgical approach.Perioperative indicatorsandshort-term outcomes werecompared between thetwo groups.The robot group was further divided into the adverse-prognosis subgroup （ n： =19，recurrence within 1 year after treatment） and the favorableprognosis subgroup （ μ⋅ =39，no recurrnce within1year）.Multivariate logisticregressionanalysisidentified influencing factors for adverserognosis，andapredictionmodel wasdevelopedThepredictiveaccuracyofvariableswere evaluated withROCcurveanalysis. Results：Compardtoteconventioallaparosopic group，teoticgoupshowedducediraoperativebloodloss，lowertrafusion rates，and longer operative times （ P<0.05 ）.No significant differences were observed in time to first flatus，length of hospital stay，or recurrence rates （P>0.05） . All surgeries were completed without conversion to open surgery. The robotic group had lower postoperative complication rates （ P-
as independent risk factors for adverse prognosis （ P <0.05），while standardized treatment served as a protective factor （P<0.05） . ROC curvesconfimedstrongpredictivepeformancefortesefctors individuallyandcolectively.Conclusion：Robotasistedlaparopic surgeryhassigificantefcacyandsafetyintereatmentofovarancancr.Closemoitoringofidentifediskfactorsandimpltation of individualized preventive management strategies are critical for improving prognosis. Key wordsOvarian Cancer; Robot-assisted Laparoscopic Surgery; Lymphadenectomy; Prognosis; Influencing Factors
卵巢癌是妇科肿瘤中死亡率最高且预后最差的异质性疾病。（剩余10334字）