中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
3期
15-16
,共2页
宫颈癌根治术%子宫颈癌%腹腔镜%临床疗效
宮頸癌根治術%子宮頸癌%腹腔鏡%臨床療效
궁경암근치술%자궁경암%복강경%림상료효
Radical hysterectomy%Cervical cancer%Laparoscopy%Clinical efficacy
目的 观察腹腔镜根治术治疗早期宫颈癌的临床疗效.方法 将77例早期宫颈癌患者随机分为两组,腹腔镜组37例,开腹组40例.两组患者进行全子宫切除术和盆腔淋巴结清扫术.比较两组患者的术中出血量、盆腔淋巴结清扫术、手术时间和并发症等情况.结果 根治性子宫颈切除术和盆腔淋巴结清扫术均在腹腔镜下完成.腹腔镜组的术中出血量为(310±34)ml,明显少于同期开腹手术者[(447士57)ml,P＜0.05],腹腔镜组淋巴结切除数(27.4±3.3)个,优于开腹手术组淋巴结切除[(15.3±2.2)个,P＜0.05],手术时间为150.5 min,优于开腹手术组(121 min,P＜0.01).术后并发症发生率为8.1％,明显优于开腹手术组(27.5％).术后随访16～ 60个月,无复发.结论 腹腔镜下子宫颈癌根治术能完全达到开腹手术的要求,手术并发症少、微创、恢复快,临床疗效显著,是治疗早期宫颈癌的最佳手段,具有广阔的临床应用前景.
目的 觀察腹腔鏡根治術治療早期宮頸癌的臨床療效.方法 將77例早期宮頸癌患者隨機分為兩組,腹腔鏡組37例,開腹組40例.兩組患者進行全子宮切除術和盆腔淋巴結清掃術.比較兩組患者的術中齣血量、盆腔淋巴結清掃術、手術時間和併髮癥等情況.結果 根治性子宮頸切除術和盆腔淋巴結清掃術均在腹腔鏡下完成.腹腔鏡組的術中齣血量為(310±34)ml,明顯少于同期開腹手術者[(447士57)ml,P＜0.05],腹腔鏡組淋巴結切除數(27.4±3.3)箇,優于開腹手術組淋巴結切除[(15.3±2.2)箇,P＜0.05],手術時間為150.5 min,優于開腹手術組(121 min,P＜0.01).術後併髮癥髮生率為8.1％,明顯優于開腹手術組(27.5％).術後隨訪16～ 60箇月,無複髮.結論 腹腔鏡下子宮頸癌根治術能完全達到開腹手術的要求,手術併髮癥少、微創、恢複快,臨床療效顯著,是治療早期宮頸癌的最佳手段,具有廣闊的臨床應用前景.
목적 관찰복강경근치술치료조기궁경암적림상료효.방법 장77례조기궁경암환자수궤분위량조,복강경조37례,개복조40례.량조환자진행전자궁절제술화분강림파결청소술.비교량조환자적술중출혈량、분강림파결청소술、수술시간화병발증등정황.결과 근치성자궁경절제술화분강림파결청소술균재복강경하완성.복강경조적술중출혈량위(310±34)ml,명현소우동기개복수술자[(447사57)ml,P＜0.05],복강경조림파결절제수(27.4±3.3)개,우우개복수술조림파결절제[(15.3±2.2)개,P＜0.05],수술시간위150.5 min,우우개복수술조(121 min,P＜0.01).술후병발증발생솔위8.1％,명현우우개복수술조(27.5％).술후수방16～ 60개월,무복발.결론 복강경하자궁경암근치술능완전체도개복수술적요구,수술병발증소、미창、회복쾌,림상료효현저,시치료조기궁경암적최가수단,구유엄활적림상응용전경.
Objective To investigate the clinical effect of laparoscopic radical hysterectomy on early cervical cancer.Methods Seventy-seven patients with early cervical cancer were randomly divided into laparoscopic group (37 cases) and laparotomy group (40 cases).All patients underwent hysterectomy and pelvic lymphadenectomy.Blood loss,pelvic lymph node dissection,surgery time and complications and so on were compared between the two groups.Results Radical resection of cervical and pelvic lymphadenectomy were performed laparoscopically.Blood loss in the laparoscopic group was (310 ± 34)ml,which was significantly less than the that of same period laparotomy group [(447 ± 57) ml,P ＜ 0.05)].The number of lymphadenectomy in laparoscopic group was 27.4 ± 3.3,which was more than that in laparotomy group(15.3 ±2.2,P ＜ 0.05).The surgery time in laparoscopic group was 150.5 min,which was shorter than that in laparotomy group(121 min,P ＜0.01).The postoperative complication rate in laparoscopic group was 8.1％,which was less than that in laparotomy group(27.5％).Postoperative follow-up was 16 to 60 months,there was no recurrence.Conclusions Erupted laparoscopic radical hysterectomy can fully meet the requirements of open surgery,has little trauma,quicker recovery,fewer complications,the clinical efficacy is better than laparotomy,is ideal for the treatment of early cervical cancer.
