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早期子宫恶性肿瘤的微创价值。方法回顾性分析2006年1月至2006年9月收治的21例经腹腔镜和28例开腹手术治疗的临床Ⅰ-Ⅱ期子宫恶性肿瘤患者的临床资料[平均年龄为51．8岁（29～62岁）]，比较两组手术时间、术中出血量、并发症、术后恢复情况及淋巴结切除数目等。结果两组手术时间、并发症发生率差异无统计学意义，而腹腔镜组术中出血量（261．11±130．11）ml，明显少于同期开腹手术者[（933．33±452．57）m1]（P〈0．01）；腹腔镜组淋巴结切除数为（22．90±6．29）个，优于开腹手术组[（15．73±6．32）个]（P〈0．01）；术后胃肠功能恢复时间，腹腔镜组为（27．70±9．14）h，开腹手术组为（55．52±15．11）h，两组差异有显著统计学意义（P〈0．01）。术后部分病例随访至2006年9月未见复发病例。结论从短期随访看，腹腔镜下广泛全子宫切除术、盆腔淋巴结切除术可以获得满意的效果，可以作为子宫恶性肿瘤，尤其早期病例的治疗方法之一。
Objective To study the clinical value of laparoscopic extensive hysterectomy in early stage cervical and endometrial carcinomas. Methods A retrospective analysis was carried out to study the clinical parameters of laparoscopie operation （aged 29 to 62 years,mean age 51.8 years） ,such as operative time, blood loss, complication and postoperative recovery. Results The difference was not significant in comparing laparoseopie extensive hysterectomy and pelvic lymphadeneetomy with tranditional laparotomic operation including the the successful rate,complications,operative time,postoperative hospitalization,blood loss, number of lymph nodes excision and postoperative recovery. Conclusion It demonstrates in short term follow-up,there is satisfactory effects in laparoseopie extensive utereetomy and pelvic lympha-denectomy. Thus extensive laparoseopie hysterectomy and pelvic lymphadenectomy could be used as an alternative approach in treating early stage of cervical and endometrial carcinomas.
出处
《生物医学工程与临床》
CAS
2007年第3期196-199,共4页
Biomedical Engineering and Clinical Medicine
关键词
微创外科
腹腔镜
子宫颈癌
子宫内膜癌
minimally invasive surgery
laparoseopy
cervical neoplasma
endometrial carcinoma
作者简介
孟元光（1965-），男，山西运城人，博士，副主任医师，副教授，主要从事妇科恶性肿瘤临床及基础研究。
