中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
95-97
,共3页
腹腔镜%宫颈恶性肿瘤%临床效果
腹腔鏡%宮頸噁性腫瘤%臨床效果
복강경%궁경악성종류%림상효과
Laparoscopy%Cervical cancer%Clinical effect
目的 探析腹腔镜治疗宫颈恶性肿瘤的临床效果. 方法 整群选取该院2013年1月—2014年12月收治的92例早期宫颈恶性肿瘤患者,对其临床资料进行回顾性分析,并将其随机分为治疗组和对照组,各为46例,治疗组采取腹腔镜下广泛子宫切除+盆腔淋巴结清扫术,对照组采取经腹广泛子宫切除+淋巴结清扫术,对比两组手术情况及术后患者情况. 结果治疗组患者的手术时间、术中出血量、术后体温恢复正常时间及淋巴结切除数目分别为(216.8±35.4)min、(332.5±120.4) mL、(4.4±2.1)d、(24.3±5.6) 条, 对照组患者的手术时间、 术中出血量、 术后体温恢复正常时间及淋巴结切除数目分别为(265.5±32.3)min、(496.5±136.7)mL、(7.6±3.2)d、(20.3±5.4)条,两组比较差异具有统计学意义(P<0.05);治疗组和对照组患者的膀胱恢复时间和术后并发症几率分别为(13.2±4.4)d、(14.3±3.6)d、2.17%、2.17%,比较差异无统计学意义(P>0.05). 结论 对于早期子宫恶性肿瘤患者采取腹腔镜治疗效果较好,安全有效,能够缩短患者的手术时间,减少对患者的创伤,应用前景较好,值得应用和推广.
目的 探析腹腔鏡治療宮頸噁性腫瘤的臨床效果. 方法 整群選取該院2013年1月—2014年12月收治的92例早期宮頸噁性腫瘤患者,對其臨床資料進行迴顧性分析,併將其隨機分為治療組和對照組,各為46例,治療組採取腹腔鏡下廣汎子宮切除+盆腔淋巴結清掃術,對照組採取經腹廣汎子宮切除+淋巴結清掃術,對比兩組手術情況及術後患者情況. 結果治療組患者的手術時間、術中齣血量、術後體溫恢複正常時間及淋巴結切除數目分彆為(216.8±35.4)min、(332.5±120.4) mL、(4.4±2.1)d、(24.3±5.6) 條, 對照組患者的手術時間、 術中齣血量、 術後體溫恢複正常時間及淋巴結切除數目分彆為(265.5±32.3)min、(496.5±136.7)mL、(7.6±3.2)d、(20.3±5.4)條,兩組比較差異具有統計學意義(P<0.05);治療組和對照組患者的膀胱恢複時間和術後併髮癥幾率分彆為(13.2±4.4)d、(14.3±3.6)d、2.17%、2.17%,比較差異無統計學意義(P>0.05). 結論 對于早期子宮噁性腫瘤患者採取腹腔鏡治療效果較好,安全有效,能夠縮短患者的手術時間,減少對患者的創傷,應用前景較好,值得應用和推廣.
목적 탐석복강경치료궁경악성종류적림상효과. 방법 정군선취해원2013년1월—2014년12월수치적92례조기궁경악성종류환자,대기림상자료진행회고성분석,병장기수궤분위치료조화대조조,각위46례,치료조채취복강경하엄범자궁절제+분강림파결청소술,대조조채취경복엄범자궁절제+림파결청소술,대비량조수술정황급술후환자정황. 결과치료조환자적수술시간、술중출혈량、술후체온회복정상시간급림파결절제수목분별위(216.8±35.4)min、(332.5±120.4) mL、(4.4±2.1)d、(24.3±5.6) 조, 대조조환자적수술시간、 술중출혈량、 술후체온회복정상시간급림파결절제수목분별위(265.5±32.3)min、(496.5±136.7)mL、(7.6±3.2)d、(20.3±5.4)조,량조비교차이구유통계학의의(P<0.05);치료조화대조조환자적방광회복시간화술후병발증궤솔분별위(13.2±4.4)d、(14.3±3.6)d、2.17%、2.17%,비교차이무통계학의의(P>0.05). 결론 대우조기자궁악성종류환자채취복강경치료효과교호,안전유효,능구축단환자적수술시간,감소대환자적창상,응용전경교호,치득응용화추엄.
Objective To explore the clinical efficacy of laparoscopic surgery for vervical malignant tumors. Methods A retrospec-tive analysis was done on the clinical date of 92 patients with vervical malignant tumors in early stage admitted to this hospital be-tween January 2013 and December 2014. They were divided randomly into treatment group and control group with 46 in each one. The treatment group adopted laparoscopic extensive hysterectomy and pelvic lymphadenectomy, while the control group underwent abdominal extensive hysterectomy and pelvic lymphadenectomy. The indicators of the operation and postoperative conditions were compared between the two groups. Results The operative time, blood loss, time for body temperature recovery, and number of lymph node dissection were (216.8±35.4)min, (332.5±120.4)mL,(4.4±2.1)d, (24.3±5.6)respectively in the treatment group, while those in the control group were (265.5±32.3)min,(496.5±136.7)mL,(7.6±3.2)d,(20.3±5.4)respectively, and the differences be-tween the two groups were statistically significant, P<0.05. There were no statistically significant differences in recovery time of blodder function [(13.2±4.4)d vs 14.3±3.6)d] and postoperative complication rate (2.17%vs 2.17%) between the two groups (P>0.05). Conclusion For patients with vervical malignant tumors in early stage, laparoscopic treatment can effectively shorten the operative duration and reduce the trauma, therefore it is worthy of application and promotion.
