腹腔镜与开腹手术治疗子宫癌114例临床疗效比较  

Clinical effects comparision between laparoscopic and open operation to treat hysterocarcinoma in 114 cases

作　　者：张勇[1] 孙华[1] 王小燕[1] 张明霞[1] 齐成秋[1] 李燕华[1] 王丹[1] 王亮[1] 

机构地区：[1]绵阳市妇科微创诊治技术中心绵阳市中心医院,四川绵阳621000

出　　处：《腹腔镜外科杂志》2007年第2期96-98,共3页Journal of Laparoscopic Surgery

摘　　要：目的:通过腹腔镜与开腹手术治疗子宫癌,比较2种手术方式的临床疗效及安全性。方法:比较腹腔镜手术治疗的61例子宫癌与同期开腹手术治疗的53例子宫癌的临床资料,观察2组患者手术时间、术中出血量、淋巴结切除数量、术后病率、肠道排气时间、住院日、术后并发症等。结果:两组患者手术时间及淋巴结切除数量无显著差异(P>0.05),术中出血量、术后病率、肠道排气时间、住院日及术后并发症发生率,存在显著性差异(P<0.01),腹腔镜组明显优于开腹组。结论:腹腔镜下治疗子宫癌创伤小、恢复快,是一种安全有效的手术方法。Objective：To compare the clinic effects and safety between laparoscopic and open operation to treat hysterocarcinoma. Methods： Sixty-one cases with cancers of the womb was treated by laparoscopy and fifty-three cases by trans-abdomen operation. Compare the operating time, intraoperative hemorrhage, quantity of the lymph node resected, postoperative sickness, movement, average hospitalization days, and postoperative complications et al. Results： There were no significant differences in the operating time and the quantity of the lymph node resected between the two groups. There were significant differences in the postoperative sickness rate,interoperation hemorrhage, recovery of intestinal, average hospitalization days, postoperative complications （ P 〈 O. 01 ）. The effects of laparoscopy group was significanty better than that of open operation group. Conclusions： It is a micro-trauma, quick-recovery and safe method to treat the cancers of the womb by laparoscopy.

关 键 词：腹腔镜术 子宫肿瘤 疗效 

分 类 号：R737.33[医药卫生—肿瘤]