摘要
目的探究腹腔镜全子宫切除加盆腔淋巴结清扫术治疗子宫恶性肿瘤的临床疗效。方法选择2017年3月—2018年3月期间,该院收治的子宫恶性肿瘤患者66例为研究对象,以手术方式为分组依据分为对照组和研究组,每组33例患者。对照组患者以传统开腹手术进行全子宫切除,同时扫除盆腔淋巴结,研究组在腹腔镜下进行全子宫切除,同时实施盆腔淋巴结清扫术,观察和对比疗效。结果临床疗效对比,研究组总有效31例,总有效率为93.94%,对照组总有效31例,总有效率为93.94%,两组总有效率对比差异无统计学意义(χ~2=1.234,P=0.679)。两组患者术中、术后各项指标对比,淋巴结清扫数量相比,研究组(15.62±1.85)个与对照组(15.58±1.76)个差异无统计学意义(t=1.032,P=0.575);住院时间相比,研究组(13.56±2.47)d显著短于对照组(18.87±3.16)d,差异有统计学意义(t=5.775,P=0.026);术中出血量相比,研究组(352.23±58.25)mL显著少于对照组(420.36±77.39)mL,差异有统计学意义(t=7.113,P=0.018);首次排气时间相比,研究组(1.69±0.32)d显著短于对照组(2.17±0.64)d,差异有统计学意义(t=5.248,P=0.003)。结论腹腔镜全子宫切除加盆腔淋巴结清扫术治疗子宫恶性肿瘤,出血量少、术后恢复快,值得临床推广和应用。
Objective To investigate the clinical efficacy of laparoscopic hysterectomy combined with pelvic lymphadenectomy for uterine malignancies.Methods From March 2017 to March 2018,66 patients with uterine malignancies admitted to our hospital were enrolled in the study.They were divided into control group and study group according to the surgical method,with 33 patients in each group.The patients in the control group underwent hysterectomy with conventional open surgery,and the pelvic lymph nodes were removed.The study group underwent hysteroscopic hysterectomy and pelvic lymphadenectomy.The results were observed and compared.Results The clinical efficacy was compared.The total effective rate was 93.94%in the study group and 31 cases;In the control group,the total effective rate was 93.94%and 31 cases.There was no significant difference in the total effective rate between the two groups(χ^2=1.234,P=0.679).There were no significant differences between the study group(15.62±1.85)and the control group(15.58±1.76),no statistically significant(t=1.032,P=0.575);Compared with the hospitalization time,the study group(13.56±2.47)d was significantly shorter than the control group(18.87±3.16)d,the difference was statistically significant(t=5.775,P=0.026);The study group(352.23±58.25)mL was significantly less than the control group(420.36±77.39)mL,the difference was statistically significant(t=7.113,P=0.018);the first exhaust time was compared with the study group(1.69±0.32)d was significantly shorter than the control group(2.17±0.64)d,the difference was statistically significant(t=5.248,P=0.003).Conclusion Laparoscopic hysterectomy combined with pelvic lymphadenectomy for uterine malignant tumors,with less bleeding and quick recovery after surgery,is worthy of clinical promotion and application.
作者
王爱华
WANG Ai-hua(Department of Obstetrics and Gynecology,People's Hospital of Sishui County,Sishui,Shandong Province,273200 China)
出处
《系统医学》
2019年第5期124-126,共3页
Systems Medicine
关键词
腹腔镜
全子宫切除
淋巴结清扫术
恶性肿瘤
疗效
Laparoscopic
Total hysterectomy
Lymph node dissection
Malignant tumor
Curative effect
作者简介
王爱华(1977-),女,山东泗水人,硕士,主治医师,研究方向:妇科肿瘤手术、腹腔镜全子宫切除加盆腔。
