CAJ | 학술논문

目的：观察腹腔镜淋巴结切除术治疗妇科恶性肿瘤的临床效果。方法42例 I 期妇科恶性肿瘤患者按照随机数字表法将其分组为两组。对照组：采用开腹手术治疗；观察组：宫颈癌行腹腔镜广泛子宫切除＋盆腔淋巴结切除；内膜癌行腹腔镜筋膜外子宫切除＋盆腔淋巴结切除。内膜癌均行腹主动脉旁淋巴结切除或取样。观察比较两组患者的平均手术时间和出血量以及并发症、术后肛门排气时间、术后补充治疗间隔时间、留置尿管时间，进行比较和分析。结果观察组的平均手术时间和出血量以及术后肛门排气时间、术后并发症、留置尿管时间、术后补充治疗间隔时间均明显优于对照组（ P ﹤0.05）。两组患者随访6~12个月，平均（11.0±1.0）个月，不存在穿刺口和切口以及外阴肿瘤转移情况。结论临床对恶性肿瘤患者采用腹腔镜淋巴结切除术治疗，能够提高治疗效果，且安全可靠。
목적：관찰복강경림파결절제술치료부과악성종류적림상효과。방법42례 I 기부과악성종류환자안조수궤수자표법장기분조위량조。대조조：채용개복수술치료；관찰조：궁경암행복강경엄범자궁절제＋분강림파결절제；내막암행복강경근막외자궁절제＋분강림파결절제。내막암균행복주동맥방림파결절제혹취양。관찰비교량조환자적평균수술시간화출혈량이급병발증、술후항문배기시간、술후보충치료간격시간、류치뇨관시간，진행비교화분석。결과관찰조적평균수술시간화출혈량이급술후항문배기시간、술후병발증、류치뇨관시간、술후보충치료간격시간균명현우우대조조（ P ﹤0.05）。량조환자수방6~12개월，평균（11.0±1.0）개월，불존재천자구화절구이급외음종류전이정황。결론림상대악성종류환자채용복강경림파결절제술치료，능구제고치료효과，차안전가고。
Objective The gynecological malignant tumor of inpatients were treated by laparoscopic lymphadenectomy. The clinical effect of treatment was observed and analyzed. Methods 42 patients with stage I of gynecologic malignant tumors. According to random number table method,these patients were grouped into observation group and control group. Patients of control group were treated with open operation. Patients of observation group were treated with extensive total hysterectomy adding pelvic lymph nodes were performed. with the average operation time and blood loss,complications and postoperative anal exhaust time,postoperative supplementary treatment time interval,time placing a urinary catheter were observed,analyzed and compared two groups of patients. Results The average operation time and blood loss and postoperative anal exhaust time,postoperative complications,time placing a urinary catheter,postoperative supplementary treatment time interval of observation group were sig-nificantly better than that of control group( P ﹤ 0. 05). In addition,the two groups were treated for a follow - up 6 ~ 12 months,mean follow - up (11. 0 ± 1. 0)months. There is no puncture and incision and vulvar cancer metastasis in two groups patients. Conclusion Patients with malig-nant tumor can be treated by laparoscopic lymphadenectomy. This method can improve the effect of treatment,and is safe and reliable.