摘要
目的分析宫颈癌根治术的手术情况和疗效。方法回顾性分析38例宫颈癌的临床资料。结果 38例宫颈癌行广泛性子宫切除术加盆腔淋巴结清扫术,其中临床分期Ia期7例(18.4%),Ⅰb期16例(42.1%),Ⅱa期10例(26.3%),Ⅱb期5例(13.2%);鳞状细胞癌32例(84.2%),腺癌5例(13.2%),腺鳞癌1例(2.6%)。手术时间(178.8±28.7)min;术中出血量(469.7±244.3)mL;平均住院时间(33.0±27.2)d。术后出现并发症26例,其中尿潴留23例,盆腔感染1例,淋巴囊肿1例,切口疝1例。结论术前必须经过详尽病例讨论以确定手术具体方案,积极备血,确保血源,操作时小心仔细,充分熟悉盆腔解剖结构,避免血管和脏器的损伤,减少手术并发症的发生。
Objective To analyze the operative information and effect of radical hysterectomy.Methods The clinical information was retrospectively evaluated in 38 patients with cervical cancer.Results Thirty eight patients with cervical cancer received radical hysterectomy and pelvic lymphadenectomy.According to FIGO staging standard,7 cases（18.4%） were at stage Ia,16 cases（42.1%） were at stage Ⅰb,10 cases（26.3%） were at stage Ⅱnd 5 cases（13.2%） were at stage Ⅱ32 cases（84.2%） with squamous cell carcinoma,5 cases（13.2%） with adenocarcinoma,1 case（2.6%） with adeno-squamous carcinoma.The operation time was（178.8±8.7） min and the average blood loss was（469.7±44.3） mL.The patients stayed in hospital for（33.0±7.2） days.The complications occurred in 26 patients,included urine retention,pelvic infection,lymphoceles,incision hernia.Conclusion The preoperative case discussion must be detailed in order to determine the specific operation,the surgical complications could be reduced through ensuring enough blood,careful operation,being familiar with the pelvic anatomy and avoiding damage of blood vessels and organs.
出处
《肿瘤基础与临床》
2010年第5期422-423,共2页
journal of basic and clinical oncology
关键词
宫颈癌
手术
临床分析
cervical cancer operation clinical analysis
作者简介
吴静（1970-），女，副主任医师，主要从事宫颈癌、卵巢癌等的诊疗研究。E-mail：tangli56@163．com
