中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
5期
57-59
,共3页
李宏英%雷国庆%祝参%李元昆
李宏英%雷國慶%祝參%李元昆
리굉영%뢰국경%축삼%리원곤
宫颈癌%腹腔镜%子宫广泛切除术%淋巴结清扫术
宮頸癌%腹腔鏡%子宮廣汎切除術%淋巴結清掃術
궁경암%복강경%자궁엄범절제술%림파결청소술
Cervical cancer%Laparoscopy%Extensive hysterectomy%Lymphadenectomy
目的 比较广泛子宫切除加盆腔淋巴结清除术经腹腔镜与开腹施术两种方式的临床疗效.方法 回顾性分析2009年2月至2010年2月在我院行腹腔镜下广泛子宫切除加盆腔淋巴结清除术的20例子宫颈癌患者(腹腔镜组)的临床资料,同时随机抽取同期行同类开腹手术25例患者(开腹组)作为对照.结果 腹腔镜组的手术时间为(279±84)min,明显长于开腹组的(212±65)min;术中出血量(456±218)ml、输血量(42±19)ml、术后体温恢复正常时间(5.2± 1.3)d、术后排气时间(35 ±16)h、住院时间(8±20)d均明显少于开腹组的(629±314)ml、(148±35)ml、(6.9± 2.3)d、(64 ±28)h、(14±5) d;切除盆腔淋巴结的数目为(20±4)枚,与开腹组的(18±5)枚相比差异无统计学意义(P>0.05),两组间术后盆腔引流液量、拔除导尿管时间、住院费用比较差异均无统计学意义(P>0.05).结论 腹腔镜下子宫根治术加盆腔淋巴结清除术可达到同类开腹手术的彻底性,并具有创伤小、恢复快等优点.
目的 比較廣汎子宮切除加盆腔淋巴結清除術經腹腔鏡與開腹施術兩種方式的臨床療效.方法 迴顧性分析2009年2月至2010年2月在我院行腹腔鏡下廣汎子宮切除加盆腔淋巴結清除術的20例子宮頸癌患者(腹腔鏡組)的臨床資料,同時隨機抽取同期行同類開腹手術25例患者(開腹組)作為對照.結果 腹腔鏡組的手術時間為(279±84)min,明顯長于開腹組的(212±65)min;術中齣血量(456±218)ml、輸血量(42±19)ml、術後體溫恢複正常時間(5.2± 1.3)d、術後排氣時間(35 ±16)h、住院時間(8±20)d均明顯少于開腹組的(629±314)ml、(148±35)ml、(6.9± 2.3)d、(64 ±28)h、(14±5) d;切除盆腔淋巴結的數目為(20±4)枚,與開腹組的(18±5)枚相比差異無統計學意義(P>0.05),兩組間術後盆腔引流液量、拔除導尿管時間、住院費用比較差異均無統計學意義(P>0.05).結論 腹腔鏡下子宮根治術加盆腔淋巴結清除術可達到同類開腹手術的徹底性,併具有創傷小、恢複快等優點.
목적 비교엄범자궁절제가분강림파결청제술경복강경여개복시술량충방식적림상료효.방법 회고성분석2009년2월지2010년2월재아원행복강경하엄범자궁절제가분강림파결청제술적20례자궁경암환자(복강경조)적림상자료,동시수궤추취동기행동류개복수술25례환자(개복조)작위대조.결과 복강경조적수술시간위(279±84)min,명현장우개복조적(212±65)min;술중출혈량(456±218)ml、수혈량(42±19)ml、술후체온회복정상시간(5.2± 1.3)d、술후배기시간(35 ±16)h、주원시간(8±20)d균명현소우개복조적(629±314)ml、(148±35)ml、(6.9± 2.3)d、(64 ±28)h、(14±5) d;절제분강림파결적수목위(20±4)매,여개복조적(18±5)매상비차이무통계학의의(P>0.05),량조간술후분강인류액량、발제도뇨관시간、주원비용비교차이균무통계학의의(P>0.05).결론 복강경하자궁근치술가분강림파결청제술가체도동류개복수술적철저성,병구유창상소、회복쾌등우점.
Objective To compare the clinical efficacy of laparoscopy with laparotomy in radical hysteretomy plus pelvic lymphadenectomy in cervical cancer patients. Methods This retrospective analysis included two groups: ①Twenty patients underwent laparoscopy-assisted radical hysteretomy plus pelvic lymphadenectomy(laparoscopy group); ②Twenty-five patients were treated with radical hysteretomy plus pelvic lymphadenectomy by laparotomy(laparotomy group). The tumor stage in these two group of patients was matched.Multiple clinical parameters were observed and analyzed statistically. Results Comparing with the patients in laparotomy group, the patients in laparoscopy group had a longer operative duration (279 vs 212min), less blood loss (456 vs 629ml) and less transfusion (42 vs 148ml),shorter interval of postoperative gastrointestinal function recovery (35 vs 64 h),quicker return to normal temperature (3 vs 5 d),shorter period of using antibiotics (5 vs 7 d) and hospital stay (8 vs 14 d)(P<0.01). However,there were no significant differences in the followings: pelvic drainage (311 vs 214 ml), pelvic lymph nodes removed (20 vs 18)catheter removal time (13 vs 14 d),and hospitalization expenditure (21 698 vs 19 570 yuan) between the two groups (P>0.05). Conclusions The efficacy of radical hysteretomy plus pelvic lymphadenectomy by laparoscopy in cervical cancer patients is similar to that of laparotomy, and it has little trauma and rapid recovery.
