[精品]腹腔镜广泛子宫切除和盆腔淋巴结清扫术治疗早期子宫颈癌与开腹手术的对比分析.doc

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1、腹腔镜广泛子宫切除和盆腔淋巴结清扫术治疗早期子宫颈癌与开腹手术的对比分析腹腔镜广泛子宫切除和盆腔淋巴结清扫术治疗早期子宫颈癌与开腹手术的对比分析【摘要】冃的比较腹腔镜广泛子宫切除和盆腔淋巴结清扫术治疗早期宫颈癌与开腹手术的临床疗效及安全性。方法回顾性分析2008年11月至2010年7月于我院接受腹腔镜广泛子宫切除和盆腔淋巴结清扫术的40例早期宫颈癌患者(腹腔镜组)的临床资料，并随机抽取同期行同类开腹手术的40例患者(开腹组)作为对照组，将两组资料进行对比分析。结杲腹腔镜组的手术时间明显长于开腹组，术中出血量、术后排气时间均明显少于开腹组，该两组的淋巴结

2、切除数目、保留尿管时间及术后住院吋间等指标均无显著性差异。腹腔镜组术中输尿管损伤1例，开腹组术中膀胱损伤1例，腹腔镜组和开腹组的术后并发症率分别为32.5%、37.5%,无显著性差异。80例患者的随访时间为11-32个月，至今尚无复发病例。结论腹腔镜广泛性子宫切除和盆腔淋巴结清扫术可作为早期子宫颈癌手术治疗的选择方法之一。【关键词】子宫颈癌腹腔镜广泛子宫切除中图分类号:R737.3文献标识码文章编号：1005-0515(2011)12-025-03Acomparisonoflaparoscopicandabdominalradicalhysterect

3、omyJIAOLanzhouJIANGJiyong,CAORui(andpelviclymphadenectomyinearlystagecervicalcancer)[Abstract]ObjectiveTocomparetheclinicaleffectivenessandsafetyoflaparoscopicandabdominalradicalhysterectomyandpelviclymphadenectomyinearlystagecervicalcancer・MethodsAretrospectiveanalysiswascarrie

4、doutwithatotalof80patientswithearlystagecervicalcancertreatedinourhospitalfromNovember2008toJuly2010.40patientsunderwentlaparoscopicradicalhysterectomyandpelviclymphadenectomy(laparoscopygroup),andanother40patientsweretreatedwithabdominalradicalhysterectomyandpelviclymphadenecto

5、my(laparotomygroup)・Multipleclinicalparameterswereobservedandanalyzedstatistically.ResultsComparingwiththepatientsinlaparotomygroup,thepatientsinlaparoscopygrouphadalongeroperatingtime,lowerbloodloss,andquickerreturnofbowelfunction.Therewerenosignificantdifferencesinlymphnodesex

6、cised,catheterremovaltime,andhospitalstaysbetweenthetwogroups・Therewasonecaseofureteralinjuryinlaparoscopygroupandonecaseofbladderinjuryinlaparotomygroup・Therateofpostoperativecomplicationwas32.7%inlaparoscopygroupand37.5%inlaparotomygroupwithnosignificantdifferences・Therewasnoc

7、aseofrecurrenceduringthefollow-uptime(11-32months)・ConclusionsLaparoscopicradicalhysterectomyandpelviclymphadenectomyisaneffectiveandsafetherapeuticprocedureforthemanagementofearlystagecervicalcancer・[Keywords】cervicalcancerlaparoscoperadicalhysterectomy随着微创外科理念在临床医学各个领域的不断深入，以及

8、腹腔镜技术的不断进步和完善，腹腔镜手术在妇科恶性肿瘤治疗中的应用得以迅速发展。早期宫颈癌以手术