中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
12期
6-8
,共3页
子宫切除术%腹腔镜%宫颈肿瘤%老年人
子宮切除術%腹腔鏡%宮頸腫瘤%老年人
자궁절제술%복강경%궁경종류%노년인
Hysterectomy%Laparoscopes%Uterine cervical neoplasms%Aged
目的 比较腹腔镜根治性子宫切除术与开放手术治疗老年早期宫颈癌患者的疗效.方法 对195例行手术治疗的老年早期宫颈癌患者进行回顾性研究,根据手术方式分为腹腔镜组(66例)和开放组(129例),比较两组手术时间、术中出血量、切除淋巴结数目、肠道功能恢复时间、术后住院时间及并发症.结果 腹腔镜组手术时间、术中出血量、肠道功能恢复时间及术后住院时间均明显少于开放组[(237.6±46.9)min比(259.3±76.7) min、(214.7±104.8) ml比(283.4±137.2)ml、(1.9±1.2)d比(2.8±1.5)d、(4.1±3.5)d比(6.7±1.4)d],差异均有统计学意义(P＜0.05或＜0.01),两组切除淋巴结数目和并发症发生情况比较差异无统计学意义(P＞0.05).结论 腹腔镜根治性子宫切除术对老年早期宫颈癌患者安全可行.
目的 比較腹腔鏡根治性子宮切除術與開放手術治療老年早期宮頸癌患者的療效.方法 對195例行手術治療的老年早期宮頸癌患者進行迴顧性研究,根據手術方式分為腹腔鏡組(66例)和開放組(129例),比較兩組手術時間、術中齣血量、切除淋巴結數目、腸道功能恢複時間、術後住院時間及併髮癥.結果 腹腔鏡組手術時間、術中齣血量、腸道功能恢複時間及術後住院時間均明顯少于開放組[(237.6±46.9)min比(259.3±76.7) min、(214.7±104.8) ml比(283.4±137.2)ml、(1.9±1.2)d比(2.8±1.5)d、(4.1±3.5)d比(6.7±1.4)d],差異均有統計學意義(P＜0.05或＜0.01),兩組切除淋巴結數目和併髮癥髮生情況比較差異無統計學意義(P＞0.05).結論 腹腔鏡根治性子宮切除術對老年早期宮頸癌患者安全可行.
목적 비교복강경근치성자궁절제술여개방수술치료노년조기궁경암환자적료효.방법 대195례행수술치료적노년조기궁경암환자진행회고성연구,근거수술방식분위복강경조(66례)화개방조(129례),비교량조수술시간、술중출혈량、절제림파결수목、장도공능회복시간、술후주원시간급병발증.결과 복강경조수술시간、술중출혈량、장도공능회복시간급술후주원시간균명현소우개방조[(237.6±46.9)min비(259.3±76.7) min、(214.7±104.8) ml비(283.4±137.2)ml、(1.9±1.2)d비(2.8±1.5)d、(4.1±3.5)d비(6.7±1.4)d],차이균유통계학의의(P＜0.05혹＜0.01),량조절제림파결수목화병발증발생정황비교차이무통계학의의(P＞0.05).결론 복강경근치성자궁절제술대노년조기궁경암환자안전가행.
Objective To compare the efficacy of laparoscopic radical hysterectomy and open surgery with early stage cervical cancer in elderly patients.Methods Performed a retrospective study of 195 cases underwent surgical treatment of early stage cervical cancer in elderly patients.According to different approach,the patients were divided into laparoscopic group (66 cases) and open group (129 cases).The operation time,intraoperative blood loss,number of resected lymph nodes,bowel function recovery time,postoperative hospital stay and postoperative complications was compared between two groups.Results The operation time,intraoperative blood loss,bowel function recovery time,postoperative hospital stay in laparoscopic group were significantly shorter than those in open group [(237.6 ±46.9) min vs.(259.3 ± 76.7) min,(214.7 ± 104.8) ml vs.(283.4 ± 137.2) ml,(1.9 ± 1.2) d vs.(2.8 ± 1.5) d,(4.1 ± 3.5) d vs.(6.7 ± 1.4) d,P ＜ 0.05 or ＜ 0.01].There was no significant difference in number of resected lymph nodes and postoperative complications between laparoscopic group and open group (P ＞ 0.05).Conclusion Laparoscopic radical hysterectomy is both safe and effective in elderly patients with early stage cervical cancer.
