摘要
目的探究对宫颈癌患者施行开腹手术的临床效果。方法选取2015年7月至2018年9月我院妇产科接收的38例宫颈癌患者,均行开腹手术治疗,观察其术中出血量、手术用时、淋巴结清扫个数、下床活动时间、肛门排气时间、住院时间、并发症情况以及随访1年后的存活率。结果 (1)手术情况分析:38例宫颈癌患者的平均手术用时为(152.43±5.46)min、术中出血量为(213.42±6.18)mL、清扫淋巴结个数为(18.46±3.25)个;(2)术后情况分析:38例宫颈癌患者的术后下床活动时间为(68.42±10.19)h、肛门排气时间为(48.76±5.72)h、术后住院时间为(12.34±2.18)d、随访1年后的存活率为84.21%;(3)并发症情况分析:38例宫颈癌患者经开腹手术治疗后,有1例尿潴留、2例切口感染、2例淋巴囊肿、1例伤口脂肪液化,其并发症总发生率为15.79%。结论对宫颈癌患者行开腹手术,疗效确切,为患者延长一定的生存时间,值得广泛推广。
Objective To explore the clinical effect of laparotomy for patients with cervical cancer. Methods A total of 38 cervical cancer patients received from the department of Obstetrics and Gynecology in our hospital from July 2015 to September 2018 were treated with open surgery. The intraoperative blood loss, surgical time, lymph node dissection, and get out of bed were observed. Time, anal exhaust time, length of hospital stay, complications, and survival after 1 year of follow-up. Results(1) Analysis of surgical conditions: The average operation time of 38 patients with cervical cancer was(152.43±5.46) min, the intraoperative blood loss was(213.42±6.18) mL, and the number of lymph nodes cleaned was(18.46±3.25);(2) Postoperative analysis: 38 patients with cervical cancer had a postoperative bed-time activity time of(68.42±10.19) h, anal exhaust time(48.76±5.72) h, and postoperative hospital stay(12.34±2.18) d. The survival rate after 1 year of follow-up was 84.21%;(3) Analysis of complications: 38 patients with cervical cancer treated with open surgery, 1 case of urinary retention, 2 cases of wound infection, 2 cases of lymphatic cyst, 1 case of fat liquefaction, the total incidence of complications was 15.79%. Conclusion Open laparotomy for patients with cervical cancer is effective and prolongs the survival time of patients. It is worthy of widespread promotion.
作者
苏新路
楚艳艳
宋涛
SU Xin-lu;CHU Yan-yan;SONG Tao(Weifang Maternal and Child Health Hospital,Weifang,Shandong 261000)
出处
《智慧健康》
2019年第1期78-79,共2页
Smart Healthcare
关键词
宫颈癌
开腹手术
生存时间
Cervical cancer
Laparotomy
Survival time
