腹腔镜治疗早期宫颈癌的临床疗效分析.docVIP

精品论文 参考文献 腹腔镜治疗早期宫颈癌的临床疗效分析 新疆喀什地区第一人民医院妇二科 新疆 喀什 844000 作者简介：陈龙毅 研究方向：妇科、不孕、妇科肿瘤、微创 摘要：目的：探讨腹腔镜手术优于开腹手术在广泛子宫切除术加盆腔淋巴结清扫术治疗早期宫颈癌中的临床疗效。方法：近3年本科腹腔镜组50例与开腹组在治疗宫颈癌I-IIa期的临床数据分析。结果：腹腔镜组术中出血量、肛门排气时间，住院时间、腹腔镜组术后并发症发生率明显低于开腹组，差异有统计学意义（Plt;0.05）；腹腔镜组手术时间与开腹组相同；腔镜组淋巴结切除数量增加，差异有统计学意义（Plt;0.05）。结论：腹腔镜广泛子宫切除加盆腔淋巴结清扫术治疗早期宫颈癌安全、可行、疗效好。 关键词：腹腔镜；宫颈癌；广泛子宫全切术；盆腔淋巴结清扫术 【中图分类号】R458.3【文献标识码】A【文章编号】1001-5213(2016)09-0294-02 Clinical analysis of laparoscopic radical hysterectomy and pelvic lymphadenectomy for early cervical cancer CHEN-Longyi1,YANG-Xiuwei （Department of the second Gynoecoloy，the first area Peoplersquo;s Hospital of kashgar， kashgar，xinjiang 844000，P.R.China） Abstract：【Objective】The purpose of this study is to compare the safety,efficacy of lapsroscopic radical hysterectomy (LRH)versus abdominal radical hysterectomy(ARH)in the treatment of cervical cancer and explore the potential benefits of advanced laparoscopic techniques with lymphadenectomy operation in the treatment of gynecological malignant tumors.【Method】A retrospective analysis for the clinical data of50 cases of I-IIa cervical cancer undergoing laparoscpy surgery in Department of the second Gynoecoloy，the first area Peoplersquo;s Hospital of kashgar，form March 2013 to May 2016 were conducted. 【Result】Intraoperative bieeding ,and exhaust time,length of hospital stay and prevalence of operation complications in the laparoscopic group were less than that of the abdominal group .Prevalence of the postoperative complications in the laparoscopic group was significantly less than that of the abdominal group ,and there were differences between the two groups (Plt;0.05).The operation time in the laroscopic group was not longer than that of the abdominal group . The numbers of lymph nodes removed in the laroscopic group was more than that of the abdominal group ,and there was statistically significant difference(Plt;0.05).【Conclusion】Radical hysterectomy and pelvic lymphadenectomy under laparoscope coud be saf