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1、腹腔镜广泛子宫切除及盆腔淋巴结清扫术治疗宫颈癌的并发症分析［摘要］目的探讨腹腔镜广泛子宫切除(LRH)及盆腔淋巴结清扫术(LPL)治疗宫颈癌的近期临床疗效。方法回顾性分析整群选取2010年4月一2014年6月间该院收治的96例Ia2〜Illa宫颈癌LRH及LPL术中及术后观察。结果93例患者成功在腹腔镜下完成手术，3例中转开腹。手术时间228-330min,平均278min。术中出血量50-500mL,平均183mL；切除盆腔淋巴数11〜67枚，平均29.7枚。术后胃肠功能恢复时间1.5-3d,平均2.6do该研究中患者恢复自主排尿的中位时间为26.3d,术中
2、并发症1例血管损伤；术后主要并发症10例，1例输尿管狭窄，4例下肢静脉血栓形成，4例淋巴囊肿，1例盆腔脓肿；晚期并发症有26例膀胱功能障碍。结论腹腔镜下广泛子宫切除及盆腔淋巴结清扫术治疗宫颈癌，术式安全有效，并发症发生率和中转开腹率低，可以作为宫颈癌治疗的常规术式。［关键词］宫颈癌；腹腔镜;广泛子宫切除术；淋巴清扫术;并发症［中图分类号］R5［文献标识码］A［文章编号］1674-0742(2015)12(c)-0083-03AnalysisofLaparoscopicRadicalHysterectomyandPelvicLymphadenectomyinTr
3、eatmentofComplicationsofCervicalCancerCHENRi-xiao,ZHANGXiao-weiObstetricsandGynecologyDepartment,TheFirstAffiliatedHospitalofGuangzhouMedicalUniversity,Guangzhou,GuangdongProvince,510120China[Abstmct]ObjectiveTostudytheshort-termclinicalcurativeeffectoflaparoscopicradicalhysterectom
4、yandpelviclymphadenectomyintreatmentofcervicalcancer.Methods96casesofpatientswithcervicalcancerfromTa2stagetoTTTastageadmittedandtreatedinourhospitalfromApril2010toJune2014wereselectedandtheirdatawereretrospectivelyanalyzed,thepatientsweretreatedwithLRHandLPL,andtheintraoperativeand
5、postoperativeconditionswereobserved.Results93casesofpatientshadsuccessfullyfinishedoperationunderlaparoscope,3caseswereconvertedtolaparotomy,theoperationtimewas228-330min,278minaveragely,theintraoperativebloodlosswas50-500ml,183mlaveragely,theexcisionnumberofpelviclymphwas11-67,29.7
6、averagetherecoverytimeofpostoperativegastrointestinalfunctionwas1.5~3d,2.6daveragely,inthisstudy,themediumtimeoftherecoveryofautomaticmicturitionofpatientswas26.3d,1casewascomplicatedbyvascularinjuryinoperation,andcomplicationsoccurredto10casesafteroperation,ureterostenosisoccurredt
7、o1case,deepvenousthrombosisoccurredto4cases,lymphoceleoccurredto4cases,pelvicabscessoccurredto1case,and26caseswerecomplicatedbybladderdysfunctioninlatestage.ConclusionLaparoscopicradicalhysterectomyandpelviclymphadenectomyintreatmentofcervicalcancerissafeandeffectivewithlowincidence
8、ofcomplicationsandr
