腹阴联合广泛全子宫切除术治疗宫颈癌的临床观察.docVIP

精品论文 参考文献 腹阴联合广泛全子宫切除术治疗宫颈癌的临床观察 胡海燕1 王伟1 陈丽华2 　　(1 山东省日照市东港区人民医院 山东日照 276800) 　　(2 山东省日照市东港区疾病控制中心 山东日照 276800） 　　【摘要】目的：探讨安全、简单的广泛全子宫切除术。方法：回顾性分析我院2006年1月至2012年1月收治的80例行广泛全子宫切除术+盆腔淋巴清扫术的宫颈癌患者,其中腹阴联合广泛全子宫切除术+盆腔淋巴清扫术41例为研究组,其余39例经腹广泛全子宫切除术+盆腔淋巴清扫术为对照组。分析两组患者手术中及围手术期情况。结果：研究组与对照组的一般情况无明显差异；术中出血量分别为（340plusmn;52.3）ml与（385plusmn;47.2）ml,两组比较,差异有显著性,(Plt;0.05),手术时间分别为(180.45plusmn;33.4)min与（219.55plusmn;43.1）min,两组比较,差异有显著性,(Plt;0.05)。术后最高体温37.5plusmn;0.6℃与37.8plusmn;0.4℃,两组比较,差异无显著性(Pgt;0.05)。两组均无手术引起的泌尿系统损伤。结论：腹阴联合广泛全子宫切除术+盆腔淋巴清扫术是简单、安全的、实用的,值得在临床中推广应用。 　　【关键词】子宫颈癌 腹阴联合 广泛全子宫切除术 　　【中图分类号】R737.33 【文献标识码】A 【文章编号】2095-1752（2014）11-0110-02 　　【Abstract】Objective:To discuss safe and simple radical hysterectomy.Methods:80 cases with cervical cancer who received radical hysterectomy and pelvic lymphadenectomy from January 2006 to January 2012 were analyzed retrospectively.The research group was composed of 41 cases who received transabdominal combined transvaginal radical hysterectomy and pelvic lymphadenectomy.The other 39 cases with transabdominal hysterectomy formed the control group. The conditions in Intraoperative and perioperative period of the two groups were analyzed. Result:The general condition of the two groups has no obvious difference.The blood loss was respectively （340plusmn;52.3）ml and（385plusmn;47.2）ml.There is significant difference comparing the data(Plt;0.05).The operation time was respectively (180.45plusmn;33.4)min and（219.55plusmn;43.1）min.There is also significant difference (Plt;0.05).The highest body temperature was respectively (37.5plusmn;0.6)℃and(37.8plusmn;0.4)℃.The difference is not obvious(Pgt;0.05). There is no urinary damage caused by surgery.Conclusion: Transabdominal combined transvaginal radical hysterectomy and pelvic lymphadenectomy is simple,safe and practical.It is worth putting into use in clinical work. 　　【Key words】cervical cancer transabdominal combined transvagin