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腹腔镜下行子宫内膜癌主动脉旁淋巴结清扫术的效果观察 被引量:1

Efficacy of laparoscopic surgery for dissection of para-aortic lymph nodes for endometrial cancer
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摘要 目的观察腹腔镜下进行子宫内膜癌主动脉旁淋巴结清扫手术的疗效。方法100例子宫内膜癌根据手术方式分为剖腹组(行常规剖腹手术清扫淋巴结)和腹腔镜组(行腹腔镜手术清扫淋巴结)。比较两组患者手术相关指标、手术并发症及术后48 h促炎因子的表达。结果与剖腹组比较,腹腔镜组患者的术中出血量少,手术时间及住院时间短,取出的淋巴结数多,术后48 h TNF-α、IL-1、IL-6的mRNA表达低(P<0.05)。结论腹腔镜下行子宫内膜癌主动脉旁淋巴结清扫术效果好,安全性高。 Objective To investigate the efficacy of laparoscopic surgery for dissection of para-aortic lymph nodes for endometrial cancer.Methods A total of 100 patients with endometrial cancer were divided into the Laparotomy Group(conventional laparotomy)and the Laparoscopic Group(laparoscopic surgery)according to the surgical operation.The two groups were compared in terms of the surgical indicators,operative complications and the expression of proinflammatory factors 48 h after operation.Results Compared with the Laparotomy Group,the Laparoscopy Group had less intraoperative blood loss and shorter operation duration and hospital stay,had more lymph nodes removed,and had a lower expression of TNF-α,IL-1,and IL-6 in mRNA 48h after the operation(P<0.05).Conclusion The laparoscopic surgery for dissection of para-aortic lymph nodes for endometrial cancer is safe and effective.
作者 韦多 廖义鸿 李丕宇 WEI duo;LIAO Yi-hong;LI Pi-yu(Department of Obstetrics and Gynecology,Shenzhen Hospital,University of Chinese Academy of Sciences,Shenzhen 518107,China;Department of Obstetrics and Gynecology,Shenzhen People's Hospital,Shenzhen 518100,China)
出处 《广东医科大学学报》 2021年第4期434-436,共3页 Journal of Guangdong Medical University
关键词 子宫内膜癌 腹腔镜 淋巴结 endometrial cancer laparoscopy lymph nodes
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