腹腔镜下线层解剖法切除腹膜后淋巴结治疗子宫恶性肿瘤的临床价值

发布时间：2018-08-27 19:52

【摘要】：目的:探讨腹腔镜下线层解剖法切除腹膜后淋巴结治疗子宫恶性肿瘤的可行性及价值。方法:选取2012年1月至2014年12月在济宁医学院附属医院接受腹腔镜腹膜后淋巴结切除术的子宫恶性肿瘤患者114例,其中56例行线层解剖法切除腹膜后淋巴结(观察组),58例行连续整块切除法切除腹膜后淋巴结(对照组)。比较两组患者的腹膜后淋巴结切除手术时间、术中出血量、切除淋巴结数、术中术后并发症及恢复情况。结果:除1例患者中转开腹外,其余患者均于腹腔镜下成功完成手术。观察组的手术时间、术中出血量分别为(58.7±12.5)min、(27.3±15.6)ml,对照组分别为(85.6±21.3)min、(58.3±20.4)ml,两组比较差异均有统计学意义(P0.05)。两组患者的腹膜后淋巴结切除数、术中术后并发症、引流管留置时间、引流量、肛门排气时间及住院时间比较,差异均无统计学意义(P0.05)。结论:腹腔镜下线层解剖法切除腹膜后淋巴结,思路清晰,路径明确,有利于缩短手术时间,减少出血,安全可行,具有一定的实用价值,值得临床推广。
[Abstract]:Objective: to evaluate the feasibility and value of laparoscopic subline dissection in the treatment of uterine malignant tumors. Methods: from January 2012 to December 2014, 114 patients with malignant uterine tumors underwent laparoscopic retroperitoneal lymphadenectomy in the affiliated Hospital of Jining Medical College. 56 cases of retroperitoneal lymph node resection (observation group) 58 cases of continuous mass resection of retroperitoneal lymph nodes (control group). The time of retroperitoneal lymphadenectomy, the amount of blood lost, the number of lymph nodes removed, the complications and the recovery were compared between the two groups. Results: all patients were successfully operated under laparoscope except for one patient who was converted to laparotomy. The time of operation and the amount of intraoperative bleeding were (58.7 卤12.5) min, (27.3 卤15.6) ml, in the observation group and (85.6 卤21.3) min, (, 58.3 卤20.4) ml, in the control group, respectively (P0.05). There was no significant difference between the two groups in the number of retroperitoneal lymphadenectomy postoperative complications drainage tube indwelling time anal exhaust time and hospitalization time (P0.05). Conclusion: laparoscopic subline dissection method for retroperitoneal lymph node resection is clear in mind and clear in path. It is beneficial to shorten the operation time and reduce bleeding. It is safe and feasible and has certain practical value and is worth popularizing in clinic.
【作者单位】：济宁医学院附属医院妇科;
【分类号】：R737.33

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