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腹腔镜下保留神经的广泛子宫切除术治疗宫颈癌52例临床效果分析

真酌 李慧玲 吕丽

中国医药科学Issue(15):215-216,2.
中国医药科学Issue(15):215-216,2.

腹腔镜下保留神经的广泛子宫切除术治疗宫颈癌52例临床效果分析

Clinical efficacy analysis of laparoscopic nerve-sparing radical hysterectomy in the treatment of cervical carcinoma 52 cases

真酌 1李慧玲 1吕丽1

作者信息

  • 1. 齐齐哈尔医学院附属第五医院大庆龙南医院妇产科,黑龙江大庆,163453
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摘要

Abstract

Objective To discuss the clinical effect of laparoscopic nerve-sparing radical hysterectomy (LNSRH) in the treatment of cervical carcinoma. Methods The clinical data of 76 early cervical cancer patients who were in hospital between June 2009 to June 2010 were retrospectively analyzed.All patients were divided into the control group and the experiment group according to the treatment method, each group of 38 cases. The experiment group was treated by laparoscopic nerve-sparing radical hysterectomy, and the control group was treated by laparoscopic radical hysterectomy. The average operation time,average stay, intraoperative bleeding and recovery of rectum and bladder function were observed. All patients were followed up for 6-24 months, and observed with the relapse and metastasis. Results The average operation time of experiment group was (325.5±74.5)min, longer than that of control group, and the average hospitalization time of experiment group was (11.5±3.5)h, shorter than that of control group. Pull out the catheter time, postoperative exhaust time, and intraoperative defecation time of experiment group were shorter than those of control group with statistically significant difference (P<0.05). The average intraoperative bleeding of two groups had no significant difference (P>0.05). All patients were followed up for 6-24 months, and no case had vaginal stump and abdominal puncture recurrence through ultrasound and gynecological examination. Conclusion The laparoscopic nerve-sparing radical hysterectomy can improve the prognosis of patients and would be propitious to recovery of bladder and rectum function after surgery. It's the preferred method for cervical cancer operation.

关键词

腹腔镜/保留神经的广泛子宫切除术/宫颈癌/效果

Key words

Laparoscopic/Nerve-sparing radical hysterectomy/Cervical carcinoma/Efficacy

分类

医药卫生

引用本文复制引用

真酌,李慧玲,吕丽..腹腔镜下保留神经的广泛子宫切除术治疗宫颈癌52例临床效果分析[J].中国医药科学,2013,(15):215-216,2.

中国医药科学

2095-0616

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