孟元光, 李亚里, 宋磊, 彭红梅, 李秀丽, 李立安, 黄柯, 王玉峰. 腹腔镜手术治疗40例宫颈癌患者的临床病例分析[J]. 中国肿瘤临床, 2007, 34(13): 764-766.
引用本文: 孟元光, 李亚里, 宋磊, 彭红梅, 李秀丽, 李立安, 黄柯, 王玉峰. 腹腔镜手术治疗40例宫颈癌患者的临床病例分析[J]. 中国肿瘤临床, 2007, 34(13): 764-766.
Meng Yuanguang, Li Yali, Song Lei et al, . Treatment of Cervical Carcinoma by Laparoscopic Surgery:A Clinical Analysis of 40 Cases[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(13): 764-766.
Citation: Meng Yuanguang, Li Yali, Song Lei et al, . Treatment of Cervical Carcinoma by Laparoscopic Surgery:A Clinical Analysis of 40 Cases[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(13): 764-766.

腹腔镜手术治疗40例宫颈癌患者的临床病例分析

Treatment of Cervical Carcinoma by Laparoscopic Surgery:A Clinical Analysis of 40 Cases

  • 摘要: 目的:研究腹腔镜下广泛全子宫切除术、盆腔淋巴结切除术治疗子宫颈癌临床价值。方法:回顾性分析40例经腹腔镜和36例开腹手术治疗临床Ⅰ~Ⅱ期子宫颈癌患者的临床资料。比较两组的手术时间、术中出血量、并发症、术后恢复情况以及淋巴结切除数目等。结果:两组的手术时间、并发症发生率无显著性差异,而腹腔镜组的术中出血量281.38±151.99ml,明显少于同期开腹手术者948.08±450.88ml(P<0.01);腹腔镜组淋巴结切除数25.48±6.69个,优于开腹手术组淋巴结切除17.00±3.90个(P<0.01);术后胃肠功能恢复时间,腹腔镜组为25.87±8.05h,开腹组为57.82±13.45h,有显著差异(P<0.01)。术后随访至今均未见复发病例。结论:腹腔镜下广泛全子宫切除术、盆腔淋巴结切除术治疗子宫颈癌疗效显著,尤其适用于早期病例的治疗,具有一定的临床应用价值。

     

    Abstract: Objective: To compare the clinical value of laparoscopic-surgery and laparotomy intreating early stage cervical carcinoma. Methods: Laparoscopic radical hysterectomy and ab-dominopelvic lymphadenectomy was performed in 40 cases of biopsy-confirmed early stage cervicalcarcinoma. The control group consisted of 36 cases that underwent laparotomies. Retrospective analysiswas carried out to examine the clinical parameters of laparoscopic surgery and laparotomy, such as op-erative time, blood loss, complications and postoperative recovery. Results: Laparoscopic radical hys-terectomy and pelvic lymphadenectomy are similar to the traditional laparotomy for complications andsurgical operative time. Laparoscopic radical hysterectomy and pelvic lymphadenectomy is better interms of blood loss (281.38±51.99 ml VS 948.08± 50.88 ml P<0.01), number of lymph nodes excised(25.48±.69 VS 17.00±3.90 P<0.01) and postoperative recovery time (25.87± 8.05 h VS 57.82± 3.45 h P<0.01). Conclusion: Laparoscopic surgery for the treatment of malignant gynecological tumors offers sig-nificant advantages, especially in the early stages of cervical carcinoma.

     

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