腹腔镜手术治疗宫颈恶性肿瘤临床探讨.docVIP

腹腔镜手术治疗宫颈恶性肿瘤临床探讨 　　[摘要] 目的 探析腹腔镜治疗宫颈恶性肿瘤的临床效果。方法 整群选取该院2013年1月―2014年12月收治的92例早期宫颈恶性肿瘤患者，对其临床资料进行回顾性分析，并将其随机分为治疗组和对照组，各为46例，治疗组采取腹腔镜下广泛子宫切除+盆腔淋巴结清扫术，对照组采取经腹广泛子宫切除+淋巴结清扫术，对比两组手术情况及术后患者情况。结果 治疗组患者的手术时间、术中出血量、术后体温恢复正常时间及淋巴结切除数目分别为（216.8±35.4）min、（332.5±120.4）mL、（4.4±2.1）d、（24.3±5.6）条，对照组患者的手术时间、术中出血量、术后体温恢复正常时间及淋巴结切除数目分别为（265.5±32.3）min、（496.5±136.7）mL、（7.6±3.2）d、（20.3±5.4）条，两组比较差异具有统计学意义（P0.05）。结论 对于早期子宫恶性肿瘤患者采取腹腔镜治疗效果较好，安全有效，能够缩短患者的手术时间，减少对患者的创伤，应用前景较好，值得应用和推广。 　　[关键词] 腹腔镜；宫颈恶性肿瘤；临床效果 　　[中图分类号] R737.33 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0095-03 　　Clinical Observation of Laparoscopic Surgery for Treatment of Cervical Malignant Tumors 　　MA Xin， XIE Hong 　　Department of Gynaecology and Obstetrics， Zhangjiagang First Peoples Hospital， Zhangjiagang， Jiangsu Province， 215600 China 　　[Abstract] Objective To explore the clinical efficacy of laparoscopic surgery for vervical malignant tumors. Methods A retrospective analysis was done on the clinical date of 92 patients with vervical malignant tumors in early stage admitted to this hospital between January 2013 and December 2014. They were divided randomly into treatment group and control group with 46 in each one. The treatment group adopted laparoscopic extensive hysterectomy and pelvic lymphadenectomy， while the control group underwent abdominal extensive hysterectomy and pelvic lymphadenectomy. The indicators of the operation and postoperative conditions were compared between the two groups. Results The operative time， blood loss， time for body temperature recovery， and number of lymph node dissection were（216.8±35.4）min， （332.5±120.4）mL，（4.4±2.1）d， （24.3±5.6）respectively in the treatment group， while those in the control group were （265.5±32.3）min，（496.5±136.7）mL，（7.6±3.2）d，（20.3±5.4）respectively， and the differences between the two groups were statistically significant， P0.05）. Conclusion For patients with vervical malignant tumors in early stage， laparoscopic treatment can effectively shorten the operative du