中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2011年
6期
783-785
,共3页
余进进%舒珊%王元%许希中
餘進進%舒珊%王元%許希中
여진진%서산%왕원%허희중
腹腔镜检查%子宫切除术%阴道式/方法%宫颈肿瘤/外科学
腹腔鏡檢查%子宮切除術%陰道式/方法%宮頸腫瘤/外科學
복강경검사%자궁절제술%음도식/방법%궁경종류/외과학
Laparoscopy%Hysterectomy,vaginal/MT%Uterine cervical neoplasms/SU
目的 探讨经阴式子宫广泛切除加腹腔镜手术治疗宫颈癌的可行性和临床效果.方法 对38例宫颈癌患者行经阴道子宫广泛加腹腔镜盆腔淋巴结清除术.分析手术质量和术后恢复情况.结果 38例患者均顺利完成手术,2例中转开腹,无并发症发生.清除盆腔淋巴结(21.4±2.2)个,手术时间(240±25.6)min,术中出血(340±40.2)ml,7例需要输血.术后肛门排气时间(2±0.26)d,膀胱功能恢复时间(10.5±1.3)d,术后住院时间(9.2±1.1)d.术后第一天均可下床活动.38例患者随访3~24个月,无一例死亡及复发.结论 该术式损伤小、恢复快,能达到足够的切除范围,是目前治疗宫颈癌理想的术式.
目的 探討經陰式子宮廣汎切除加腹腔鏡手術治療宮頸癌的可行性和臨床效果.方法 對38例宮頸癌患者行經陰道子宮廣汎加腹腔鏡盆腔淋巴結清除術.分析手術質量和術後恢複情況.結果 38例患者均順利完成手術,2例中轉開腹,無併髮癥髮生.清除盆腔淋巴結(21.4±2.2)箇,手術時間(240±25.6)min,術中齣血(340±40.2)ml,7例需要輸血.術後肛門排氣時間(2±0.26)d,膀胱功能恢複時間(10.5±1.3)d,術後住院時間(9.2±1.1)d.術後第一天均可下床活動.38例患者隨訪3~24箇月,無一例死亡及複髮.結論 該術式損傷小、恢複快,能達到足夠的切除範圍,是目前治療宮頸癌理想的術式.
목적 탐토경음식자궁엄범절제가복강경수술치료궁경암적가행성화림상효과.방법 대38례궁경암환자행경음도자궁엄범가복강경분강림파결청제술.분석수술질량화술후회복정황.결과 38례환자균순리완성수술,2례중전개복,무병발증발생.청제분강림파결(21.4±2.2)개,수술시간(240±25.6)min,술중출혈(340±40.2)ml,7례수요수혈.술후항문배기시간(2±0.26)d,방광공능회복시간(10.5±1.3)d,술후주원시간(9.2±1.1)d.술후제일천균가하상활동.38례환자수방3~24개월,무일례사망급복발.결론 해술식손상소、회복쾌,능체도족구적절제범위,시목전치료궁경암이상적술식.
Objective To discuss clinical effect and feasibility of laparoscopic pelvic lymphadendenectomy assisted radical vaginal hysterectomy (LARVH) in the treatment of cervical cancer. Methods Laparoscopic pelvic lymphadendenectomy assisted radical vaginal hysteretomy was performed in 38 patients with cervical cancer. The operative quality and postoperative recovery effects were analyzed. Results All 38 patients were successfully performed with LARVH and no complications. The radical vaginal hysteretomy were performed in all of patients, 21.4±2.2 pelvic lymph nodes were removed. The average duration of surgery was (240±25.6) min and the average hemorrhage was (340±40.2) ml. There were 7 patients who needed blood transfusion during operation. After operation, the mean time for passage of gas by anus was (2±0.26) days, and the mean recovery time of bladder function was (10.5±1.3) days. Patients were discharged after (9.2±1.1) days on average. 38 patients had no complication. Conclusions For the treatment of uterine neoplasm, LARVH decreased operative damage with more short recovery time, same operative extent as laparotomy. It is an ideal way to treat uterine neoplasm currently.