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《腹腔镜下广泛子宫切除+盆腔淋巴结清扫术与传统开腹手术在早期子宫恶性肿瘤治疗中的比.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、腹腔镜下广泛子宫切除+盆腔淋巴结清扫术与传统开腹手术在早期子宫恶性肿瘤治疗中的比较［摘耍］目的对比分析腹腔镜下广泛子宫切除+盆腔淋巴结清扫术与传统开腹手术治疗子宫恶性肿瘤的近期效果及应用价值。方法对襄阳市中心医院2010年6月〜2013年3月收治的43例早期子宫恶性肿瘤患者进行腹腔镜下广泛性全子宫切除术+盆腔淋巴结清扫术(腹腔镜组)，并和同期43例经腹行广泛性全子宫切除术+盆腔淋巴结清打术的早期子宫恶性肿瘤患者(开腹组)进行对照，比较两种术式的手术时间、术中出血量、清扫淋巴结数冃、术中及术后并发症等。结果与开腹组相比，43例腹腔镜组的患者术中失血量少［(336.2
2、8土240.49)mL比(479.07土317.02)mL,P0.05］o结论在早期子宫恶性肿瘤的手术方式中，与传统开腹手术相比，腹腔镜组具有同样的有效性和安全性，同时减少了术屮出血量及术示并发症，减少了手术创伤，缩短了住院时间，术后患者恢复快，为妇科恶性肿瘤应用微创手术治疗提供了良好的应用前景。［关键词］子宫恶性肿瘤；腹腔镜手术；广泛子宫切除；盆腔淋巴结清扫［中图分类号］R737.33［文献标识码］A［文章编号］1673-7210(2014)10(a)-0047-04Comparisonoflaparoscopicradicalhysterectomyandpe
3、lvic1yinphadenectomywithtraditionallaparotoinyforthetre且tmentofearlyuterinemalignancyYANGJinglHEMiniXINGHui2ALILin2LIXianxian2ZHOUMin21.ReproductiveMedicineCenter,RenininHospitalofWuhanUniversity，HubeiProvince,Wuhan430000,China；2.DepartmentofObstetricsandGynecology,XiangyangCentralHos
4、pital,HubeiProvince,Xiangyang441021,China[Abstract]ObjectiveTocomparetheapplicationvalueandefficacyoflaparoscopicradicalhysterectomyandpelvic1ymphadenectomywithtraditional1aparotomyforthetreatmentofuterinemalignancies.MethodsFromJune2010toMarch2013inXiangyangCentralHospital,43casesofp
5、atientswithearlyuterinemalignancywerescheduledforlaparoscopicradicalhysterectomyandpelvic1ymphadenectomy(laparoscopicgroup)astreatment,atthesameperiod43casesofpatientswithearlyuterinemalignancywererecruitedtobethelaparotomygroupwhoweregiventraditionallaparotomy.Thetimeofsurgery,amount
6、ofbleeding,numberofdissectedpelviclymphnodes,complicationofintraoperativeandpostoperativeofthetwogroupswerecompared.ResultsComparedwiththelaparotomygroup,43patientsinthelaparoscopicgroupshowedlessintraoperativebloodloss[(336.28±240.49)mLvs(479.07±317.02)mL,P0.05],butthedifferencewasno
7、tstatisticallysignificant.ConclusionThestudycomparesthetherapeuticefficacyoflaparoscopicsurgeryandtraditionallaparotomyfortheearlyuterinemalignancy,findsthatthelaparoscopicsurgeryhasthesameefficacyandsafety,whilereducingtheamount,ofbleeding,thepostoperativecomplicationsandthesurgicalt
8、rauma
