新腹腔镜子宫颈癌根治术与开腹手术的对比研究.docVIP

腹腔镜子宫颈癌根治术与开腹手术的 对比研究 牛爱菊 周克水 （山东省桓台县妇幼保健院,桓台256400） 【摘要】 目的 比较腹腔镜子宫颈癌根治术与开腹手术的临床疗效及安全性。 方法 回顾性分析2004年2月至2010年2月于我院接受腹腔镜下子宫颈癌根治术46患者（腹腔镜组）的临床资料，并随机抽取同期行同类开腹手术的46患者(开腹组)作为对照组，分析两组手术时间、术中出血量及输血量、淋巴结数目、术中术后并发症发生率、保留尿管时间、病人住院时间、术后复发情况等。结果 腹腔镜组的手术时间、术中出血量明显少于开腹组，有统计学意义;保留尿管时间及住院时间小于开腹组, 但无统计学意义；两组的淋巴结切除数目无显著性差异。腹腔镜组术中术后并发症与开腹组相比无显著性差异。结论 腹腔镜子宫颈癌根治术治疗早期子宫颈癌有极大的发展前景。 关键词: 腹腔镜 宫颈癌根治术 开腹手术 Laparoscopic uterine cervical carcinoma radical operation and open operation of the comparative study Niu aiju Zhou Keshui ( Shandong province Huantai County Maternal and child health hospital, Huantai 256400) Abstract Objective To compare laparoscopic uterine cervical carcinoma radical operation and open operation on the clinical efficacy and safety. Methods a retrospective analysis of2004February to2010February in our hospital underwent laparoscopic radical operation of uterine cervix cancer patients (46laparoscopic group ) clinical data, and a random sample of the simultaneous operation of46patients of similar laparotomy ( open group ) served as the control group, the two groups of operation time, intraoperative bleeding and blood transfusion, lymph node number, intraoperative and postoperative complication rate, retention catheter time, hospitalization, postoperative recurrence. Results of laparoscopic group in the operation time, intraoperative bleeding was significantly less than that of the open group, a statistically significant; retention catheter time and hospitalization time is less than the laparotomy group, but the difference was not statistically significant; the number of lymph node dissection in two groups have no significant difference. The laparoscopic group intraoperative vascular injury in 1 cases, laparotomy group intraoperative bladder injury in 1 cases,1 cases of ureteral injury; postoperative complications in the laparoscopic group ( such as urinary retention, lymphatic cyst, venous thrombosis of the lower extremity ) occurred at a rate of 26.09