摘要
目的探讨腹腔镜广泛子宫切除及盆腔淋巴结清扫术治疗子宫恶性肿瘤的临床价值。方法分析采用腹腔镜手术治疗37例子宫恶性肿瘤患者(宫颈癌35例,内膜癌2例)的临床资料,详细统计手术时间、术中出血量、术后病检及淋巴结切除数目、手术并发症等。结果成功完成腹腔镜手术33例,成功率89.2%;中转开腹4例,中转开腹率10.8%;手术时间(171.4±33.0)min,术中平均出血(160.9±99.4)ml;所有病例断端及阴道切缘均干净无癌瘤组织残留,切除淋巴结(14.8±6.3)枚,其中淋巴结阳性2例。术后随访3～16个月,尿潴留2例,输尿管膀胱瘘1例。全部患者存活,无肿瘤复发。结论腹腔镜广泛子宫切除及盆腔淋巴结清扫术可用于治疗子宫颈癌和子宫内膜癌,手术效果理想,创伤小、术后恢复快、安全、手术视野清晰操作灵活到位等优于传统开腹手术。
Objective To explore the clinical value of laparoscopic radical hysterectomy and pelvic lymph node dissection surgery in treatment of uterine malignancies.Methods The clinical data of 37 cases uterine malignancies tumor(35 cases of cervical cancer and 2 cases of endometrial cancer) which accepted laparoscopic radical hysterectomy and pelvic lymph node dissection surgery in our department were retrospectively analyzed.The operative time,blood loss,number of lymph node dissection,the pathologic,surgical complications was recorded.Results Four cases of 37 patients with laparoscopic surgery were converted to laparotomy,transit rate was 10.8%,The mean operating time was(171.4±33.0)min,blood loss in operation was(160.9±99.4)ml,the amount of the excised lymph nodes was 14.8±6.3,and two cases were positive.Followed-up for 1-16 months in 37 cases showed two cases were urinary retention,one case was the ureter and bladder fistula,no recurrence.Conclusion Laparoscopic extensive hysterectomy and pelvic lymph node dissection can be used for the treatment of cervical cancer and endometrial cancer,surgical results are satisfactory.It is worth to extension because of clear operative field,flexible operation small wound,less bleeding,faster recovery which is better than traditional open surgery.
出处
《宁夏医学杂志》
CAS
2012年第8期713-715,前插1,共4页
Ningxia Medical Journal
