腹腔镜下广泛子宫切除和盆腔淋巴结清扫术治疗早期宫颈癌与经腹手术的对比分析

发布时间：2018-04-11 10:09

本文选题：腹腔镜 + 宫颈癌　；参考：《昆明医科大学》2014年硕士论文

【摘要】：目的：回顾性分析2012年10月-2014年1月昆明医科大学第一临床医院收治的51例宫颈癌患者的临床资料,探讨腹腔镜手术治疗早期子宫颈癌的应用价值。方法：选取在昆明医科大学第一临床医院妇科行手术治疗的宫颈癌患者51例,其中26例接受腹腔镜广泛子宫切除及盆腔淋巴结清扫术(LRH组),25例接受开腹广泛全子宫切除及盆腔淋巴结清扫术(ARH组),比较两种术式的手术时间、术中出血量、术后恢复情况及手术并发症等。结果：腹腔镜组术后并发症发生率为26.9%,开腹组为12%,开腹组明显低于腹腔镜组.LRH组26例,手术时间90～370min,平均(280.6±69.7)min,术中出血100-3000ml,平均(751.9±825.4)ml,平均切除淋巴结(15.1±9.1)个。ARH组25例,手术时间145-360min,平均(234.3±55.8)min,术中出血200～3000ml,平均(566.2±606.5)ml,平均切除淋巴结(17.2±9.1)个。LRH组手术时间略多于ARH组,两组手术时间有明显差异(P0.05),LRH组术后并发症的发生率为26.9%,ARH组术后并发症的发生率为12%,X2=0.978,P=0.323(P0.05)无明显统计学差异. 结论：腹腔镜与开腹手术都可作为子宫颈癌根治术的术式之一,腹腔镜手术具有创伤小,术后恢复快等优点。
[Abstract]:Objective:The clinical data of 51 patients with cervical cancer treated in the first Clinical Hospital of Kunming Medical University from October 2012 to January 2014 were analyzed retrospectively to explore the value of laparoscopic surgery in the treatment of early cervical cancer.Methods:Fifty-one patients with cervical cancer undergoing gynecological surgery in the first Clinical Hospital of Kunming Medical University were selected.Twenty-five patients in LRH group underwent laparoscopic extensive hysterectomy and pelvic lymph node dissection, and 25 patients underwent open hysterectomy and pelvic lymph node dissection. The time of operation and the amount of blood lost during operation were compared between the two groups.Postoperative recovery and complications.Results:The operative time was 145-360 min (mean 234.3 卤55.8 min), intraoperative bleeding was 2000.000 ml (mean 566.2 卤606.5 ml) and lymph node resection was 17.2 卤9.1%. The operative time of LRH group was slightly longer than that of ARH group.There was significant difference between the two groups in the operative time. There was no significant difference in the incidence of postoperative complications between the two groups. The incidence of postoperative complications was 26.9in the ARH group. The incidence of postoperative complications in the ARH group was 120.978% (P < 0.05). There was no significant difference in the incidence of postoperative complications between the two groups.Conclusion:Laparoscopy and open surgery can be used as one of the methods of radical cervical cancer surgery, laparoscopic surgery has the advantages of less trauma, quick recovery and so on.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R737.33

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