| 摘要: |
| ［摘要］ 目的 探讨腹腔镜广泛子宫切除结合盆腔淋巴结清扫在宫颈癌治疗中的应用效果。方法 选取2015-01～2016-01该院收治的宫颈癌患者60例，根据手术方式不同分为观察组和对照组，各30例。观察组采用腹腔镜广泛性子宫切除联合盆腔淋巴结清扫；对照组采用开腹广泛子宫切除联合盆腔淋巴结清扫。比较两组术中情况、术后恢复情况、生活能力及并发症。结果 观察组手术时间、住院时间均短于对照组，术中出血量少于对照组，差异有统计学意义（P<0.01）；观察组术后肠道功能恢复时间、引流管拔除时间、抗生素使用时间均短于对照组，尿管拔除时间长于对照组，术后并发症发生率低于对照组，差异有统计学意义（P<0.05）；术后12个月，观察组癌症治疗功能总体评价量表（FACT-G）评分高于对照组，差异有统计学意义（P<0.01）。结论 宫颈癌患者实施腹腔镜广泛子宫切除结合盆腔淋巴结清扫治疗，患者术后恢复情况好，生活质量显著提高，手术治疗效果显著，术后并发症少，安全可靠。 |
| 关键词: 宫颈癌 腹腔镜 盆腔淋巴清扫 生活能力 |
| DOI：10.3969/j.issn.1674-3806.2018.06.17 |
| 分类号:R 737.33 |
| 基金项目: |
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| Clinical effect of laparoscopy combined with pelvic lymph node dissection on treatment of cervical cancer |
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YANG Chang-xiang, GU Bao-shuang
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Department of Gynecology and Obstetrics, the First People′s Hospital of Nanyang City, Henan 473000, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the clinical effect of laparoscopy combined with pelvic lymph node dissection on the treatment of cervical cancer. Methods 60 patients with cervical cancer treated in our hospital from January 2015 to January 2016 were divided into the observation group and the control group, with 30 cases in each group. The observation group was treated with laparoscopic radical hysterectomy combined with pelvic lymph node dissection. The control group was treated with open hysterectomy combined with pelvic lymph node dissection. The intraoperative condition, postoperative recovery, living ability and complications were compared between the two groups. Results The operation and hospitalization time of the observation group was shorter than that of the control group. The intraoperative bleeding volume of the observation group was lesss than that of the control group(P<0.01). The time of postoperative intestinal function recovery, extubation and antibiotic use in the observation group was significantly shorter than that in the control group, but the urine tube removal time in the observation group was significantly longer than that in the control group. The incidence of complications in the observation group was lower than that in control group(P<0.05). The FACT-G scores of the observation group were higher than those of the control group 1 year after the surgery(P<0.01). Conclusion Laparoscopy combined with pelvic lymph node dissection is safe and effective in the treatment of cervical cancer. |
| Key words: Cervical cancer Laparoscopy Pelvic lymph node dissection Living ability |
