腹腔镜广泛切除术联合盆腔淋巴清扫术治疗子宫恶性肿瘤的临床观察  

Clinical observation of laparoscopic radical resection combined with pelvic lymph node dissection in the treatment of uterine malignant tumor

作　　者：王军[1] WANG dun(Department of Gynecology, Rizhao City Hospital of Traditional Chinese Medicine, Rizhao 276800, Chin)

机构地区：[1]日照市中医医院妇科,276800

出　　处：《中国实用医药》2017年第27期3-5,共3页China Practical Medicine

摘　　要：目的讨论分析腹腔镜广泛切除术联合盆腔淋巴清扫术治疗子宫恶性肿瘤的临床效果。方法 98例子宫恶性肿瘤患者,随机分为试验组及参考组,各49例。参考组应用开腹广泛子宫切除术联合盆腔淋巴结清扫术进行治疗,试验组应用腹腔镜广泛切除术联合盆腔淋巴清扫术进行治疗。统计分析两组患者进行手术的具体情况以及术后并发症状况。结果试验组患者在术中出血量为(349.8±112.3)ml、手术时间为(202.6±38.4)min、胃肠道功能恢复时间为(1.6±1.4)d、住院时间为(12.5±3.7)d,均少于参考组患者的(412.3±129.4)ml、(223.4±37.8)min、(2.4±1.6)d、(17.3±4.4)d,差异有统计学意义(P<0.05)。试验组患者术后并发症发生率为8.16%,低于参考组患者的22.45%,差异有统计学意义(P<0.05)。结论腹腔镜广泛切除术联合盆腔淋巴清扫术治疗子宫恶性肿瘤具有极佳的临床效果,在一定程度上能够降低患者出现并发症的状况,值得临床推广。Objective To discuss and analyze the clinical effect of laparoscopic radical resection combined with pelvic lymph node dissection in the treatment of uterine malignant tumor. Methods A total of 98 uterine malignant tumor patients were randomly divided into experimental group and control group, with 49 cases in each group. The control group received abdominal hysterectomy combined with pelvic lymph node dissection for treatment, and the experimental group received laparoscopic radical resection combined with pelvic lymph node dissection for treatment. Statistical analysis were made on specific situation of surgery and postoperative complications in two groups. Results The experimental group had intraoperative bleeding volume as （349.8 ± 112.3） ml, operation time as （202.6 ± 38.4） min, gastrointestinal function recovery time as （1.6 ±1.4） d and hospital stay time as （12.5± 3.7） d, which were all less than （412.3± 129.4） ml, （223.4 ±37.8） min, （2.4± 1.6） d and （17.3 ± 4.4） d in the control group, and their difference had statistical significance （P〈0.05）. The experimental group had lower incidence of postoperative complications as 8.16% than 22.45% in the control group, and the difference had statistical significance （P〈0.05）. Conclusion Combination of laparoscopic radical resection and pelvic lymph node dissection shows perfect clinical effect in treating uterine malignant tumor, and to some certain extent, it can reduce the patient＇ s complications. So it is worthy of clinical promotion.

关 键 词：腹腔镜广泛切除术 盆腔淋巴清扫术 子宫恶性肿瘤 临床效果 

分 类 号：R737.33[医药卫生—肿瘤]