腹腔镜手术治疗59例子宫颈癌患者近期疗效观察.docVIP

腹腔镜手术治疗59例子宫颈癌患者近期疗效观察 　　[摘要] 目的 探讨腹腔镜手术在宫颈癌治疗中的临床价值。 方法 将2010年10月~2013年6月行宫颈癌根治术的132例Ⅰa2～Ⅱa2期的宫颈癌患者分为腹腔镜组和开腹组，比较两组的手术时间、淋巴结切除数、术中出血量、术后病理等指标。 结果 59例宫颈癌腹腔镜手术均顺利完成，其术后病理结果、并发症、切除淋巴结数与开腹手术均无明显差异（P ＞0.05），但其手术时间、术后并发症、出血量、术后补充治疗间隔时间较开腹组少（P ＜0.05）。结论 腹腔镜下手术治疗子宫颈癌安全可靠。 　　[关键词] 腹腔镜；子宫颈癌；疗效 　　[中图分类号] R737.33[文献标识码] B[文章编号] 1673-9701（2014）15-0142-03 　　 　　The therapeutic effect of hysteroscopic surgery for 59 cases of cervical cancer 　　LI Suhong LV Jingshang 　　Department of Obstetrics and Gynecology，Luohe Central Hospital inHenan Province,Luohe 462000，China 　　[Abstract] Objective To explore the clinical value of hysteroscopic surgery in the treatment of cervical cancer. Methods A total of 132 cases with earlier period cervical cancer from October 2010 to June 2013 were divided into two group(laparotomy group, laparoscopic surgery group). Compared the short-term results such as the operative time, number of lymph nodes excised, intraoperative blood loss, pathological result after operation,et al. Results All hysteroscopic surgery were performed successfully. There were no significant differences between the two groups concerning about the complication in the operation, the pathological examination after operation, the number of excised lymph nodes(P0.05). But the post-operative complications, the operative time, the interval time of adjunctive therapy after surgery and intraoperative blood loss was less in the laparoscopy group(P0.05). Conclusion The laparoscopic surgery in the treatment of earlier period cervical cancer is safe effectually. 　　[Key words] Laparoscopic operation; Cervical cancer; Therapeutic effect宫颈癌以经腹广泛子宫切除和盆腔淋巴结切除作为经典手术方式，但近年来，腹腔镜技术在宫颈癌治疗中的应用大胆而卓有成效。现总结我科实施的59例腹腔镜手术治疗子宫颈癌患者资料，探讨腹腔镜手术在宫颈癌治疗中的临床价值。 　　 　　1 资料与方法 　　1.1一般资料 　　选择2010年10月～2013年6月在我科诊断为子宫颈癌并行手术治疗（基本手术方式为广泛全子宫切除+盆腔淋巴结清扫）的患者132例。所有患者均经组织病理学检查证实为宫颈癌，2名高级职称医师临床诊断为Ⅰa2～Ⅱa2期，无子宫外转移证据，卡劳夫斯基（Karnofsky）评分≥80分，无手术禁忌证并完成宫颈癌根治术。 　　1.2方法 　　术前处理完善检查后行术前阴道及肠道准备，术前半小时预防性应用抗生素。手术范围：广泛性子宫切除+盆腔淋巴结切除术，