腹腔镜治疗宫颈癌156例临床分析  

Clinical analysis on 156 cases with cervical cancer treated by laparoscopy

作　　者：傅帆[1] 颜友良[2] 

机构地区：[1]江西井冈山大学附属医院妇产科,江西吉安343000 [2]南方医科大学附属中山博爱医院妇科

出　　处：《中国妇幼保健》2014年第28期4650-4653,共4页Maternal and Child Health Care of China

摘　　要：目的:探讨腹腔镜下广泛子宫切除及盆腔淋巴结清扫术治疗宫颈癌与腹式手术临床效果及并发症对比。方法:回顾性分析156例腹腔镜下广泛子宫切除及盆腔淋巴结清扫术治疗宫颈癌患者的临床资料,并与同期87例开腹行广泛性子宫切除及盆腔淋巴结清扫治疗宫颈癌作对照研究。结果:腹腔镜组手术平均时间(147±31.6)min稍长于对照组,但差异无统计学意义(P>0.05);术中出血量、胃肠功能恢复时间、术后住院时间明显少于对照组,差异有统计学意义(P<0.05);术中无邻近脏器损伤发生,切除的淋巴结数均无明显差异(P>0.05)。腹腔镜组152例获得随访,平均随访(12.8±6.9)月,并发症发生率为12.50%(19/152);对照组84例获得随访,平均随访(13.2±5.9)月,并发症发生率为10.71%(9/84),两组并发症发生率差异无统计学意义(P>0.05)。结论:腹腔镜下广泛全子宫切除加盆腔淋巴结清扫术治疗宫颈癌临床效果肯定,与开腹手术治愈率相近,具有创伤小、恢复快、并发症发生率低等优势。Objective： To explore the clinical effects of laparoscopic radical hysterectomy combined with pelvic lymphadenectomy and open radical hysterectomy combined with pelvic lymphadenectomy in treatment of cervical cancer, compare the complications of these two surgical methods. Methods： The clinical data of 156 cervical cancer patients treated by laparoscopic radical hysterectomy combined with pelvic lymphadenectomy （laparoscope group） were analyzed retrospectively; 87 cervical cancer patients treated by open radical hysterectomy combined with pelvic lymphadenectomy during the same period were selected as control group, then a case - control study was conducted. Results： The average operation time was （147 ± 31.6） minutes in laparoscope group, which was longer than that in control group, but there was no statistically significant difference （P 〉 0. 05） . The amount of intraoperative hemorrhage, the recovery time of gastrointestinal function and postoperative hospitalization time in laparoscope group were statistically significantly less than those in control group （ P 〈 0. 05 ） . No adjacent organ damage occurred during operation, there was no statistically significant difference in the number of excised lymph nodes between the two groups （ P 〉 0. 05 ） . In laparoscope group, 152 patients were followed up, the average follow - up time was （ 12. 8± 6. 9） months, the incidence rate of complications was 12. 50% （19/152） ; in control group, 84 patients were followed up, the average follow - up time was （ 13.2±5.9） months, the incidence rate of complications was 10.71% （9/84）, there was no statistically significant difference in the incidence rate of complications between the two groups （P 〉 0. 05 ） . Conclusion： The clinical effect of laparoscopic radical hysterecto- my combined with pelvic lymphadenectomy is significant, the cure rate is similar to open radical hysterectomy combined with pelvic lymph- adenectomy, which has the advantages of small trauma, faster r

关 键 词：宫颈癌 腹腔镜 子宫切除 淋巴结 

分 类 号：R737.33[医药卫生—肿瘤]