腹腔镜下子宫深静脉入路宫颈癌根治术的临床疗效研究  

Clinical efficacy of laparoscopic deep uterine vein approach for radical cervical cancer treatment

作　　者：王婷 杨一君 高迎春[1] Wang Ting;Yang Yijun;Gao Yingchun(Department of Gynecology,The Afiliated Huai'an No.1 People's Hospial of Nanjing Medical University,Huai'an Jiangsu 223300,P.R.China)

机构地区：[1]南京医科大学附属淮安第一医院妇科,江苏淮安223300

出　　处：《中国计划生育和妇产科》2024年第10期99-101,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨腹腔镜下子宫深静脉入路宫颈癌根治术的安全性和临床疗效研究。方法选择2021年2月至2023年2月在南京医科大学附属淮安第一医院住院并接受手术治疗的宫颈癌患者120例,按照随机数字表法分为研究组和对照组,各60例。研究组接受子宫深静脉入路宫颈癌根治术,对照组接受传统宫颈癌根治术,比较两组术中及术后情况。结果研究组的手术时间、术中出血量、术后住院时间均少于对照组,差异有统计学意义(P<0.05),两组术后并发症发生率、术后膀胱功能障碍发生率及术后直肠功能障碍发生率比较,差异无统计学意义(P>0.05)。结论腹腔镜下子宫深静脉入路的宫颈癌根治术能够缩短手术时间,减少术中出血量、住院时间及术后盆腔引流时间,且安全性高。Objective To explore the safety and clinical efficacy of laparoscopic deep uterine vein approach for radical cervical cancer treatment.Methods 120 patients with cervical cancer who were hospitalized and underwent surgical treatment at Huai'an First Hospital affiliated to Nanjing Medical University from February 2021 to February 2023 were selected and divided into a study group and a control group,with 60 patients in each group by random number table method.The study group received radical hysterectomy for cervical cancer via deep uterine vein approach,while the control group received traditional radical hysterectomy for cervical cancer.Compared the intraoperative and postoperative conditions of two groups.Results The surgical time,intraoperative blood loss and postoperative hospitalization time of the study group patients were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of postoperative complications,bladder dysfunction,and rectal dysfunction between the two groups(P>0.05).Conclusion Laparoscopic deep uterine vein approach for the radical treatment of cervical cancer can shorten the surgical time,reduce intraoperative bleeding,hospital stay,and postoperative pelvic drainage time,and is highly safe.

关 键 词：宫颈癌 子宫深静脉 广泛性子宫切除术 腹腔镜手术 

分 类 号：R713.4[医药卫生—妇产科学]