摘要
目的探索腹腔镜下广泛子宫切除加盆腔淋巴结清扫术治疗子宫恶性肿瘤的近期疗效及临床价值。方法选取收治的97例子宫颈癌及子宫内膜癌患者行腹腔镜下广泛子宫切除加盆腔淋巴结清扫术(A组),并与同期23例经腹广泛子宫切除术及淋巴结清扫术(B组)的病例作为对照,对临床资料和随访情况进行回顾性分析,比较两术式的术中、术后情况及并发症等。结果计划实施99例腹腔镜下广泛子宫切除术,成功97例,中转开腹2例,中转率为2%。A组在手术时间、术中出血量、淋巴结切除数目、平均住院日和术后膀胱直肠功能恢复正常平均时间上与B组比,具有明显优势,差异均有统计学意义(P<0.05)。结论腹腔镜下广泛性全子宫切除及盆腔淋巴结清除术具有创伤小、术野清晰、并发症少、术后康复快等优点,同常规的经腹手术有同样的安全性和有效性,为微创手术治疗妇科恶性肿瘤提供了良好的应用前景。
Objective To explore the recent efficacy and application value of laparoscopic hysterectomy and pelvic lymph node dissection for uterine malignant tumor.Methods From June 2007 to June 2010,97 cases of cervical cancer and endometrial cancer underwented laparoscopic hysterectomy and pelvic lymph node dissection in the First People＇s Hospital of Zhengzhou City.We select them as group A.In the same period,there were 23 cases with extensive abdominal hysterectomy and lymph node dissection.We select them as group B.The clinical information and follow-up retrospective analysis were conducted to compare the two procedures of surgery,postoperative conditions,and complications.Results 2 cases of 99 patients with laparoscopic surgery were converted to laparotomy,transit rate was 2%.Group A has obvious advantages compared with group B in the operation time,blood loss,number of lymph node dissection,the average length of stay and the average time of postoperative bladder and bowel function returning to normal.There were significant differences in above indices（P〈0.05）.Conclusion Extensive laparoscopic hysterectomy and pelvic lymphadenectomy have advantages of less trauma,a clear operative field,less complications and rapid recovery after surgery.Furthermore,this kind of procedure has the same safety and effectivenes with conventional abdominal surgery.It provides us a good prospect for the minimally invasive surgery treatment of gynecological malignant tumors.
出处
《宁夏医学杂志》
CAS
2011年第5期404-406,共3页
Ningxia Medical Journal
