摘要
目的:研究腹腔镜下广泛全子宫切除术、盆腔淋巴结切除术治疗早期子宫恶性肿瘤的可靠性、安全性和应用价值。方法:总结分析15例经腹腔镜手术治疗的临床Ⅰ-Ⅱ期子宫恶性肿瘤患者的临床资料,统计了手术时间、术中出血量、并发症、术后恢复情况以及淋巴结切除数目等相关资料。结果:全部腹腔镜手术均顺利完成,术中出血量、并发症、手术时间、术后住院时间与同期我院开腹手术者比较无显著性差异。而淋巴结切除数及术后功能恢复情况,腹腔镜手术优于开腹手术患者。结论:近期疗效观察显示,腹腔镜下广泛全子宫切除术、盆腔淋巴结切除术均可获得满意效果,进而为比较、探讨该术式的微创价值奠定了良好的临床基础。
Objectlve:To investigate the clinical value of laparoscopic operation with laparotomy in treating early stage of cervical and endometrial carcinomas. Methods: A retrospective analysis was carried out to study the clinical parameters of laparoscopic operation, such as operative time, blood loss, complications, postoperative recovery and the number of lymph node. Results:There were no significant differences between the two groups concerning about the successful rate, complications, operative time and postoperative hospitalization, on the other hand, laparoscopic operation made more advantages in blood loss, number of lymph nodes excision and postoperative recovery. Conclusion:Radical laparoscopic hysterectomy and pelvic lymphadenectomy could be used as an alternative method in treating early stage of cervical and endometrial carcinomas. But more datas about the long-term researchs is needed.
出处
《军医进修学院学报》
CAS
北大核心
2007年第1期44-46,共3页
Academic Journal of Pla Postgraduate Medical School
关键词
外科手术
微创性
腹腔镜
宫颈肿瘤
子宫内膜肿瘤
I surgery procedures, minimally invasive
laparoscopes
cervix neoplasms
endometrial neoplasms