摘要
目的探讨腹腔镜辅助下阴式广泛全子宫切除加盆腔淋巴结清扫术(LARVH)治疗早期宫颈癌的临床效果。方法对2012年4月—2014年4月在我院妇产科行手术治疗的76例宫颈癌患者进行系统回顾性分析,其中LAVRH组24例为研究组,开腹组52例为对照组。对手术时间、术中出血、切除淋巴结数目、术后恢复、住院天数等方面进行比较。结果两组患者的手术时间、切除淋巴结数目比较,差异无统计学意义(P>0.05);阴式组患者术中出血量、术后排气时间及住院时间均少于腹式组,差异有统计学意义(P<0.05)。结论 LARVH具有微创、术中出血量少、恢复快等优点,近期疗效满意。
Objective To investigate clinical effect of laparoscopy assisted radical vaginal hysterectomy ( LARVH ) and pelvic lymphadeneetomy on early cervical cancer. Methods We retrospectively analyzed 76 patients with early cervical cancer admitted to our department from April 2012 to April 2014. They were treated with LAVRH plus pelvic lymphadenectomy (trial group, n = 24) or with operation via laparotomy ( control group, n = 52). The differences in operation time, intraoperative blood loss, resected lymph node number, postoperative recovery and average hospitalization were compared. Results There were no statistically signifi- cant differences in operation time and resected lymph node number between the two groups ( P 〉 0.05 ). Compared to the control group, the trial group had the advantages of less blood loss, earlier postoperative aerofluxus and less hospitalization ( P 〈 0.05 ). Conclusion With little invasion and blood loss and fast recovery, LARVH plus pelvic lymphadenectomy is satisfactory in recent outcomes of cervical cancer.
出处
《临床军医杂志》
CAS
2015年第1期53-54,61,共3页
Clinical Journal of Medical Officers