腹腔镜手术治疗早期子宫颈癌的近期疗效及临床应用价值(1)
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【摘要】目的:探讨腹腔镜下广泛子宫切除(LRH)和盆腹腔淋巴结清扫术治疗早期子宫颈癌的临床疗效及应用价值。方法:收集2009年10月至2011年2月在我科行子宫颈癌根治术82例Ⅰa～Ⅱa 期子宫颈癌患者的临床资料，根据手术方式分为腹腔镜组和开腹组，统计并分析手术时间、术中出血量、淋巴结清除数目、肛门排气时间、留置导尿管时间、并发症等。结果:两组均成功施行手术, 无死亡病例。腹腔镜组手术时间、术中出血量、肛门排气时间、术后住院时间明显少于开腹组，差异有统计学意义(P<0.05)。而两组切除的淋巴结数和留置导尿管时间比较，差异无统计学意义(P>0.05)。结论:腹腔镜下广泛全子宫切除和淋巴结清扫治疗早期宫颈癌创伤小，术后恢复快，是一种安全、有效的方法，值得推广。
【关键词】腹腔镜；宫颈癌；子宫切除术
【中图分类号】R737.33【文献标识码】A【文章编号】1008-6455(2011)08-0045-02
Clinical therapeutic effect and applied value of laparoscopic radical hysterectomy and pelvic
lymphadenectomy in the treatment of cervical cancer in early stage
Yuan Hong
【Abstract】Objective:To explore the clinical therapeutic effect and applied value of laparoscopic radical hysterectomy(LRH)and pelvic lymphadenectomy in the treatment of cervical cancer in early stage.Methods:A retrospective analysis was made on 82 cases with stage Ⅰa-Ⅱacervical cancer from October, 2009 to Feburary 2010. All cases were divided into laparoscopic surgery group and laparotomy group.The operative time, intraoperative blood loss, number of lymph nodes excised, postoperative hospitalization time, recovery time of bowel function, detaining urethral catheter time and complications were compared.Results:All patients in both groups were operated successfully. The operative time, intraoperative blood loss, recovery time of bowel function and postoperative hospitalization time in the laparoscopic surgery group were remarkably shorter than those in the laparotomy group. There were no significant difference in the number of lymph nodes resected and detaining urethral catheter time between the two groups.Conclusion:Laparoscopic redical hysterectomy for cervical carcinoma in early stages is feasible, effective and safe with less trauma and early recovery.
【Key words】Laparoscopy; Cervical carcinoma; Hysterectomy
微创外科的理念促使腹腔镜技术被引入妇科领域并得到充分应用与发展，近年来更是在宫颈癌治疗中扮演着越来越重要的角色。我院2009年10月至2011年2月经腹腔镜手术治疗的早期宫颈癌患者42例，取得良好效果，总结报道如下。
1 资料与方法
1.1 一般资料:选择2009年10月至2011年2月在我科行子宫颈癌根治术82例的Ⅰa～Ⅱa 期子宫颈癌患者，其中42例腹腔镜下广泛性子宫切除和盆腔淋巴结清扫术，40例行开腹广泛性子宫切除和盆腔淋巴结清扫术。所有患者均经宫颈组织活检确诊。并按2000 年FIGO标准分期[1]。两组患者的年龄、临床分期、组织类型比较，差异无统计学意义(P>0.05),见表1 ......
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