子宫颈浸润癌两种根治手术术式的探讨  

A Study of Two Modes of Radical Operation for Patients with Invasive Cervical Carcinoma

作　　者：林美华[1] 

机构地区：[1]同济医科大学附属协和医院妇产科,武汉430022

出　　处：《同济医科大学学报》1993年第4期267-269,共3页Acta Universitatis Medicinae Tongji

摘　　要：探讨子宫颈浸润癌两种根治手术方式的有关问题。腹膜内盆腔淋巴结清除+广泛子宫切除+阴道烟卷引流组26例,腹膜外盆腔淋巴清除+腹膜内广泛子宫切除+腹膜外负压引流组33例。两组年龄、临床表现、临床分期及病理类型均近似。B 组总手术时间较A 组缩短 1h 26min,平均住院日数较A组少12.6d(P<0.001)。B 组主要术后近期并发症,如术后感染、血栓性静脉炎及淋巴囊肿等的发生率均明显低于A组。两组5年生存率分别为80.8％、90.9％。表明B组根治术式优于A组。文中对其优点进行了分析和探讨。Two modes of radical operation have been performed on patients with invasive cervical carcinoma, who were divided into 2 groups: A and B. Group A, consisting of 26 patients, was treated by intraperitoneal pelvic lymphadenectomy, extensive hysterectomy and cigarette drain of vaginal, and group B, composed of 33 patients by extraperitoneal pelvic lymphadenectomy, intraperitoneal extensive hysterectomy and extraperitoneal sump drain. The two groups were similar in clinical features, stages and pathologic types. In group B, the time the operation lasted is shorter (1 h and 26 min) than that in group A. The mean period of hospitalization is less (12. 6 days) in group B than in group A. The incidence of postoperative complications such as postoperative infections, thrombophlebitis, and lymph cyst is lower in group B than in group A. The 5-year survival rate of group B and group A is 80. 8% and 90. 9% , respectively. The therapeutic results suggest that the mode of radical operation for group B is superior to that for group A.

关 键 词：子宫肿瘤 并发症 根治 外科手术 

分 类 号：R737.33[医药卫生—肿瘤]