腹腔镜手术治疗早期子宫恶性肿瘤临床效果分析  

The clinical effect of radical hysterectomy under laparoscope for early uterine malignancy

作　　者：徐洁[1] 刘艳[1] 梁培琴[1] 陈天萌[1] 

机构地区：[1]南方医科大学第三附属医院妇产科,广东广州510630

出　　处：《河南大学学报（医学版）》2013年第1期54-56,共3页Journal of Henan University:Medical Science

摘　　要：目的比较分析腹腔镜治疗早期子宫恶性肿瘤的临床效果。方法 2009年1月至2011年1月来我院妇产科就诊的80例子宫恶性肿瘤患者,按照随机分组的原则分为治疗组和对照组各40例,其中治疗组采用腹腔镜下广泛子宫切除+双附件切除+盆腔淋巴结清扫术进行治疗,对照组采用开腹广泛子宫切除+双附件切除+盆腔淋巴结清扫术进行治疗,观察2组患者术中及术后情况。结果治疗组手术时间明显高于对照组,治疗组出血量、盆腔引流量、肛门排气、术后发热时间、住院时间等指标明显低于对照组,差异有显著统计学意义(P<0.01);2组患者宫旁韧带和阴道切除长度,切除淋巴数量等指标均无明显的统计学差异(P>0.05)。结论腹腔镜手术与传统手术治疗恶性子宫肿瘤切除范围相近,具有术中创伤小、术后恢复快等优点。Objective To explore the clinical effect of Radical Hysterectomy under Laparoscope for early uterine malignancy.Methods 80 patients who underwent surgery for early uterine malignancy between January 2009 and January 2011,is divided into treatment group and control group（40 cases for each group） by random principle.The treatment group was given laparoscope-guided radical hysterectomy and pelvic lymphadenectomy,the control group using hysterectomy plus pelvic lymphadenectomy for treatment.The patient＇s conditions were carefully observed during and after surgery.Results For the treatment group,the operation time was significantly higher than that of control group,while the amount of bleeding,pelvic drainage,anal exhaust time,postoperative fever,duration of hospitalization were significantly lower than that in the control group,the difference has statistical significance（P0.01）.However,the length of resected vagina and uterine ligament,and the number of resected lymph had no statistically significant difference（P0.05）for the two group of patients.Conclusion The operative resection range and perioperative complications are similar between group under laparoscopy and control group with classical surgery.The laparoscopic operation had less trauma and quicker recovery after operation than the control.

关 键 词：子宫恶性肿瘤 腹腔镜 子宫切除 盆腔淋巴结清扫术 

分 类 号：R713.4[医药卫生—妇产科学]