包头医学院学报
包頭醫學院學報
포두의학원학보
JOURNAL OF BAOTOU MEDICAL COLLEGE
2015年
6期
33-35
,共3页
腹腔镜手术%宫颈癌%广泛子宫切除%盆腔淋巴结清扫
腹腔鏡手術%宮頸癌%廣汎子宮切除%盆腔淋巴結清掃
복강경수술%궁경암%엄범자궁절제%분강림파결청소
Laparoscopic surgery%Cervical cancer%Extensive hysterectomy%Pelvic lymph node cleaning
目的：探讨腹腔镜广泛子宫切除及盆腔淋巴结清扫治疗宫颈癌的可行性、优点及临床疗效。方法：收集2010年11月至2012年9月收治的124例宫颈癌患者，随机分为腹腔镜组和开腹组行广泛子宫切除及盆腔淋巴结清扫，比较两组患者手术时间、术中出血量、淋巴结切除数目、手术并发症、术后病检、留置尿管时间、肛门排气时间、术后补充治疗间隔时间等情况。结果：腹腔镜组64例顺利完成60例，成功率93．75％，中转开腹4例；与60例开腹手术比较，腹腔镜组在手术时间、术中出血量、肛门排气时间、留置尿管时间、术后平均住院时间、术后补充治疗间隔时间、术后并发症等方面都优于开腹手术组，两组比较差异均有统计学意义（ P ＜0．05），两组在切除淋巴结数目、术后病理与开腹手术方面相似，差异无统计学意义（ P ＞0．05）。结论：腹腔镜广泛子宫切除及盆腔淋巴结清扫治疗宫颈癌安全可行、适应证与开腹手术相同，较开腹手术出血少，用时短，术后恢复快，不影响后续治疗。
目的：探討腹腔鏡廣汎子宮切除及盆腔淋巴結清掃治療宮頸癌的可行性、優點及臨床療效。方法：收集2010年11月至2012年9月收治的124例宮頸癌患者，隨機分為腹腔鏡組和開腹組行廣汎子宮切除及盆腔淋巴結清掃，比較兩組患者手術時間、術中齣血量、淋巴結切除數目、手術併髮癥、術後病檢、留置尿管時間、肛門排氣時間、術後補充治療間隔時間等情況。結果：腹腔鏡組64例順利完成60例，成功率93．75％，中轉開腹4例；與60例開腹手術比較，腹腔鏡組在手術時間、術中齣血量、肛門排氣時間、留置尿管時間、術後平均住院時間、術後補充治療間隔時間、術後併髮癥等方麵都優于開腹手術組，兩組比較差異均有統計學意義（ P ＜0．05），兩組在切除淋巴結數目、術後病理與開腹手術方麵相似，差異無統計學意義（ P ＞0．05）。結論：腹腔鏡廣汎子宮切除及盆腔淋巴結清掃治療宮頸癌安全可行、適應證與開腹手術相同，較開腹手術齣血少，用時短，術後恢複快，不影響後續治療。
목적：탐토복강경엄범자궁절제급분강림파결청소치료궁경암적가행성、우점급림상료효。방법：수집2010년11월지2012년9월수치적124례궁경암환자，수궤분위복강경조화개복조행엄범자궁절제급분강림파결청소，비교량조환자수술시간、술중출혈량、림파결절제수목、수술병발증、술후병검、류치뇨관시간、항문배기시간、술후보충치료간격시간등정황。결과：복강경조64례순리완성60례，성공솔93．75％，중전개복4례；여60례개복수술비교，복강경조재수술시간、술중출혈량、항문배기시간、류치뇨관시간、술후평균주원시간、술후보충치료간격시간、술후병발증등방면도우우개복수술조，량조비교차이균유통계학의의（ P ＜0．05），량조재절제림파결수목、술후병리여개복수술방면상사，차이무통계학의의（ P ＞0．05）。결론：복강경엄범자궁절제급분강림파결청소치료궁경암안전가행、괄응증여개복수술상동，교개복수술출혈소，용시단，술후회복쾌，불영향후속치료。
Objective:To study the feasibility, advantages and the clinical effects of laparoscopic extensive hysterectomy and pelvic lymph node cleaning on cervical cancer.Methods:124 patients with cervical cancer treated by extensive hysterectomy and pelvic lymph node cleaning from November 2010 to September 2012 were randomly divided into the laparoscopy group and the laparotomy group.The operation time, intraoperative bleeding, the number of lymph nodes resected, surgical complications, postoperative disease detection, time for placing a urinary catheter, the av-erage time of hospitalization after the operation , anal exhaust time and the interval of time for postoperative supplementary treatment were compared . Results:Among the 64 cases treated with laparoscopic surgery, 60 cases were completed successfully, the success rate of which was 93.75 %;the other 4 cases were treated with laparotomy in the middle of laparoscopic surgery.Compared with the 60 cases of laparotomy, the operation time, in-traoperative bleeding, anal exhaust time, time for placing a urinary catheter time, average time for hospitalization after operation, interval of time for postoperative supplementary treatment in the laparoscopy group were shorter, the difference between which was significant ( P <0.05).There was no significant difference in the number of lymph nodes resected , surgical complications and postoperative pathology between the two groups ( P>0.05).Conclusion:It is safe and feasible to treat cervical cancer by using laparoscopic extensive hysterectomy and pelvic lymph node cleaning, whose indications are the same as those for laparotomy, and it has the advantages of bleeding less, using shorter time, recovering soon and not af-fecting subsequent treatment etc.
