摘要
目的比较广泛子宫切除加盆腔淋巴结清除术经腹腔镜与开腹施术两种方式的，临床疗效。方法回顾性分析2009年2月至2010年2月在我院行腹腔镜下广泛子宫切除加盆腔淋巴结清除术的20例子宫颈癌患者（腹腔镜组）的临床资料，同时随机抽取同期行同类开腹手术25例患者（开腹组）作为对照。结果腹腔镜组的手术时间为（279±84）min，明显长于开腹组的（212±65）min；术中出血量（456±218）ml、输血量（42±19）ml、术后体温恢复正常时间（5．2±1．3）d、术后排气时间（35-4-16）h、住院时间（8±20）d均明显少于开腹组的（629±314）ml、（148±35）ml、（6．9±2．3）d、（64±28）h、（14±5）d；切除盆腔淋巴结的数目为（20±4）枚，与开腹组的（18±5）枚相比差异无统计学意义（P〉0．05），两组间术后盆腔引流液量、拔除导尿管时间、住院费用比较差异均无统计学意义（P〉0．05）。结论腹腔镜下子宫根治术加盆腔淋巴结清除术可达到同类开腹手术的彻底性，并具有创伤小、恢复快等优点。
Objective To compare the clinical efficacy of laparoscopy with laparotomy in radical hysteretomy plus pelvic lymphadenectomy in cervical cancer patients. Methods This retrospective anal- ysis included two groups： （1）Twenty patients underwent laparoscopy - assisted radical hysteretomy plus pelvic lymphadenectomy （laparoscopy group） ; （2）Twenty -five patients were treated with radical hysteretomy plus pelvic lymphadenectomy by laparotomy （laparotomy group）. The tumor stage in these two group of patients was matched. Multiple clinical parameters were observed and analyzed statistically. Results Comparing with the patients in laparotomy group, the patients in laparoscopy group had a longer operative duration （279 vs 212min）, less blood loss （456 vs 629ml） and less transfusion （42 vs 148ml） ,shorter interval of postoperative gastrointestinal function recovery （ 35 vs 64 h） , quicker return to normal temperature （3 vs5 d）,shorter period of using antibiotics （5 vs 7 d） and hospital slay （8 vs 14 d）（P 〈 0.01）. However, there were no significant differences in the followings： pelvic drainage （311 vs 214 ml）, pelvic lymph nodes removed （20 vs 18）catheter removal time （13 vs 14 d）,and hospitalization expenditure （21 698 vs 19 570 yuan） between the two groups （ P 〉 0.05 ）. Conclusions The efficacy of radical hysteretomy plus pelvic lymphadenectomy by laparoscopy in cervical cancer patients is similar to that of laparotomy, and it has little trauma and rapid recovery.
出处
《中国实用医刊》
2011年第5期57-59,共3页
Chinese Journal of Practical Medicine
