新医学2013，Vol.44Issue(1)：15-18,4.DOI:10.3969/g.issn.0253-9802.2013.006
腹腔镜手术治疗早期子宫恶性肿瘤的临床研究
The clinical study of aparoscopy in patients with malignant uterine tumors in early stage
夏梦 1刘军秀 1姚书忠 1柯佩琪 1何勉1
作者信息
摘要
Abstract
Objective: Discuss the security, efficacy and advantage of laparoscopy in radical hysterectomy and pelvic lymphadeneetomy in patients with malignant uterine tumors in early stage. Methods: The retrospecitive stud-y is involving 127 patients with malignant uterine tumors operated by radical hysterectomy and pelvic lymphadeneetomy According to the surgical manner, the patients are divided to two groups; ①Forty-nine patients were treated by laparoscopy (laparoscopy group) ; ②Seventy-eight patients were treated by laparotomy (laparotomy group). Multiple clinical parameters, including operative duration, blood loss, blood transfusion volume and ratio, the number of removed lymph nodes, pelvic drainage, gastrointestinal function recovery, return to normal temperature, period of using antibiotics, catheter removal time, hospitalization expenditure, WBC count, post-operative complications and recrudescence in the near future were comparatively observed and analyzed. Results: Compared with the patients in laparotomy group, the patients in laparoscopy group had a longer operative duration [ (275. 5 ± 47.4) min vs (247. 9 ±41. 7) min] , less blood loss [ (230. 2 ± 166. 9) ml vs (448. 1 ±268. 2) ml] , less blood transfusion [ (475. 0 ±221. 7) ml vs (714. 3 ±290. 5) ml], less pelvic drainage [ (169. 2 ±168. 1) ml vs (522. 3 ±626. 7) ml] and shorter internal of postoperative gastrointestinal function recovery [ (2. 3 ±0. 7) d vs (2. 7 ± 0. 8) d ]. Conclusion: Laparoscopy in radical hysterectomy and pelvic lymphadeneetomy is safe for patients with malignant uterine tumors in early stage. Compared with laparoectomy, laparoscopy has the advantages of minimal invasion and fast recovery.关键词
腹腔镜/子宫恶性肿瘤/根治性子宫切除术Key words
Laparoscopy/ Malignant uterine tumor/ Radical hysterectomy引用本文复制引用
夏梦,刘军秀,姚书忠,柯佩琪,何勉..腹腔镜手术治疗早期子宫恶性肿瘤的临床研究[J].新医学,2013,44(1):15-18,4.
