子宫悬吊联合阴道封闭行腹腔镜广泛子宫切除术的临床研究  

Clinical research of laparoscopic radical hysterectomy with uterine suspension combined with vaginal closure

作　　者：庄良武[1] 陈捷[1] 陈丽笙[1] 王小红[1] 林岚[1] ZHUANG Liangwu;CHEN Jie;CHEN Lisheng;WANG Xiaohong;LIN Lan(Department of Gynecology,People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350004,China)

机构地区：[1]福建中医药大学附属人民医院妇科,福建福州350004

出　　处：《中国医药科学》2020年第23期148-150,215,共4页China Medicine And Pharmacy

摘　　要：目的探讨子宫悬吊联合阴道封闭行腹腔镜广泛子宫切除术的临床效果。方法选取我院2018年1月~2019年12月收治的早期宫颈癌患者100例,依据手术方式不同分为两组,每组各50例,对照组行常规方法腹腔镜广泛全子宫切除术,观察组行子宫悬吊联合阴道封闭腹腔镜广泛子宫切除术。比较两组患者围术期相关指标和手术并发症,包括两组患者手术时间、术中出血量、淋巴结切除数量、阴道切除长度等指标。结果两组手术时间、淋巴结切除数量、宫旁组织切除宽度比较,差异均无统计学意义(P> 0.05);观察组术中出血量、阴道切除长度指标优于对照组,差异有统计学意义(P <0.05)。两组手术并发症比较,差异有统计学意义(P <0.05)。结论子宫悬吊联合阴道封闭行腹腔镜广泛子宫切除术可减少术中出血量、阴道切除长度,在腹腔镜早期宫颈癌治疗中具有较好的可操作性,简单易行,不增加并发症,有一定的临床推广应用价值。Objective To investigate the clinical efficacy of laparoscopic radical hysterectomy with uterine suspension combined with vaginal closure. Methods A total of 100 patients with early cervical cancer admitted to our hospital from January 2018 to December 2019 were selected and divided into the control group(n=50) and the observation group(n=50) according to different surgical methods. The control group was treated with conventional laparoscopic radical hysterectomy, while the observation group was treated with laparoscopic radical hysterectomy with uterine suspension combined with vaginal closure. The perioperative related indexes and postoperative complications in the two groups of patients were compared, including indexes of the operation time, intraoperative hemorrhage volume, the number of lymph node resection and the length of vaginal resection, etc. Results There were no statistically significant differences in the operation time, the number of lymph node resection and the width of parauterine tissue resection between the two groups, and there were no statistically significant differences(P > 0.05). The indexes of intraoperative hemorrhage volume and the length of vaginal resection in the observation group were superior to those in the control group, and the differences were statistically significant(P < 0.05). There were statistically significant differences in postoperative complications between the two groups(P < 0.05). Conclusion Laparoscopic radical hysterectomy with uterine suspension combined with vaginal closure can reduce the intraoperative hemorrhage volume and the length of vaginal resection. It has good operability in the treatment of early cervical cancer by laparoscopy, which is simple and easy to implement, and does not increase complications. Therefore, it has certain clinical value of promotion and application.

关 键 词：腹腔镜 子宫悬吊 阴道封闭 广泛子宫切除术 

分 类 号：R737.33[医药卫生—肿瘤]