腹腔镜与开腹广泛子宫切除加盆腔淋巴结清扫术治疗早期子宫恶性肿瘤的比较分析.docVIP

精品论文 参考文献 腹腔镜与开腹广泛子宫切除加盆腔淋巴结清扫术治疗早期子宫恶性肿瘤的比较分析 贾月改 杨晨 　　（南京医科大学附属苏州市立医院本部妇产科 江苏 苏州 215002） 　　【摘要】 目的：对比分析广泛子宫切除加盆腔淋巴结清扫术经腹腔镜与开腹手术两种方式的临床疗效。方法：回顾性分析2012年1月至2013年12月我院40例行腹腔镜下广泛子宫切除加盆腔淋巴结清扫术（腹腔镜组）与随机选取的同期67例行开腹手术（开腹组）的宫颈癌及子宫内膜癌患者临床资料，对两组手术时间、术中术后情况及并发症等进行比较。结果：腹腔镜组的手术时间明显长于开腹组（Plt;0.01）；腹腔镜组淋巴结清除数目多于开腹组(Plt;0.05)；术中出血量、输血比例、术后排气时间、住院时间均少于开腹组（Plt;0.05），但两组间盆腔引流管拔除时间、术后体温恢复正常时间、术后三天白细胞水平比较差异均无统计学意义(Pgt;0.05)。结论：腹腔镜下广泛子宫切除加盆腔淋巴结清扫术可达到同类开腹手术的治疗效果，并具有创伤小、恢复快等优点。 　　【关键词】 腹腔镜；开腹手术；广泛子宫切除术；淋巴结清扫术 　　【中图分类号】R73 【文献标识码】A 【文章编号】2095-1752（2015）24-0155-03 　　A comparative study of laparoscopic and abdominal radical hysterectomy plus pelvic lymphadenectomy for early-stage uterine cancer 　　Jia Yue-gai, Yang Chen 　　(Department of gynaecology and obstetrics, Suzhou Municipal Hospital Affiliated to Nanjing Medical University, Suzhou,Jiangsu, 215002) 　　【Abstract】 Objective To compare intraoperative, pathologic and postoperative outcomes of total laparoscopic radical hysterectomy with abdominal radical hysterectomy plus pelvic lymphadenectomy for patients with early-stage uterine cancer.Methods A total of 107 women with early-stage cervical or endometrial cancer were included in this retrospective analysis, 40 of whom underwent laparoscopic radical hysterectomy(laparoscopy group) and 67 of whom underwent conventional abdominal radical hysterectomy(1aparotomy group). The intraoperative, complication and postoperative outcomes were compared statistically.Results The mean operative time for laparoscopy group was longer than laparotomy group (Plt;0.01). The mean number of removed pelvic nodes during total laparoscopic radical hysterectomy was more than that during abdominal radical hysterectomy (Plt;0.05). There were a less blood loss (Plt;0.05), less transfusion (Plt;0.05), significantly shorter interval of postoperative gastrointestinal function(Plt;0.01), and shorter duration of hospital stay(Plt;0.05) in the 1aparoscopy group compared to those in