CAJ | 학술논문

目的探讨腹腔镜辅助下阴式广泛子宫切除加盆腔淋巴结清扫术治疗早期宫颈癌的可行性、安全性.方法回顾分析63例腹腔镜辅助下阴式广泛子宫切除加盆腔淋巴结清扫术患者(腔镜组),并随机抽取63例同期开腹手术(开腹组),对比分析两组患者手术时间、术中出血量、术后肛门排气时间、平均住院日、手术并发症发生情况、术后复发等情况.结果两组手术时间、术中出血量、肛门排气时间、平均住院日比较,差异均有统计学意义(P＜0.05),两组手术并发症及术后复发率差异无统计学意义(P＞0.05).结论腹腔镜辅助下阴式广泛子宫切除加盆腔淋巴结清扫术是早期宫颈癌手术治疗的有效方法.
목적 탐토복강경보조하음식엄범자궁절제가분강림파결청소술치료조기궁경암적가행성、안전성.방법 회고분석63례복강경보조하음식엄범자궁절제가분강림파결청소술환자(강경조),병수궤추취63례동기개복수술(개복조),대비분석량조환자수술시간、술중출혈량、술후항문배기시간、평균주원일、수술병발증발생정황、술후복발등정황.결과 량조수술시간、술중출혈량、항문배기시간、평균주원일비교,차이균유통계학의의(P＜0.05),량조수술병발증급술후복발솔차이무통계학의의(P＞0.05).결론 복강경보조하음식엄범자궁절제가분강림파결청소술시조기궁경암수술치료적유효방법.
Objective To investigate the clinical effect and safety of laparoscopic-assisted vaginal radical hysterectomy (LAVRH) and pelvic lymphadenectomy in early-stage cervical cancer.Methods The clinical data of 126 patients with cervical cancer were retrospectively analyzed.63 cases received LAVRH surgery were considered as study group,and 63 cases received laparotomy were selected as control group.The operation time,intraoperative blood loss,intestinal function recovery time,the average hospitalization days,surgical complications,recurrence incidence,etc were compared between the two groups.Results The operation time,intraoperative blood loss,intestinal function recovery time,the average hospitalization days had significantly statistical differences between two groups(P ＜0.05).The surgical complications and recurrence rate had no significantly statistical differences between two groups (P ＞0.05).Conclusion LAVRH and pelvic lymphadenectomy has the advantages of minimally invasive,less blood loss,faster recovery,etc.It is an effective method for the treatment of early-stage cervical cancer.