摘要
目的比较采用腹腔镜辅助根治性子宫切除术(LARVH)和根治性子宫切除术(RAH),治疗老年女性(45~70岁)宫颈癌的疗效。方法回顾性分析71例行LARVH(腹腔镜辅助根治性子宫切除术)患者,和行RAH(根治性子宫切除术)的205例患者的临床资料。结果两组患者的肿瘤大小、组织学、肿瘤分期、浸润深度、淋巴结转移、手术切缘均没有差别。LARVH的术中并发症包括:输尿管损伤(1例)、肠道损伤(1例)、膀胱损伤(7例)。分别随访2年后发现,LARVH组有4例患者复发、RAH组有13例复发(P=NS)。在2年内,两组无复发生存率分别为94%和94%(P=NS)。结论宫颈癌可以采用LARVH,LARVH最主要的优点在于术中出血量少和住院时间短,尤其适用于老年女性宫颈癌患者。
Objective To compare the curative effects of laparoscopic-assisted radical vaginal hysterectom(LARVH)and radical abdominal hysterectomy(RAH) for elderly women with cervical cancer.Methods Clinical data of 71 cases of patients who received LARVH and 205 cases of patients who received RAH were retrospectively analyzed.Results There had no differences between the 2 groups in tumor size,histology,tumor staging,depth of invasion,lymph node metastasis,and surgical margin.Complications in LARVH group included ureteral injury(1 cases),intestinal injury(1 cases),and bladder injury(7 cases).After 2-year follow-up,there had 4 recurrences in the LARVH group and 13 in the RAH group(P = NS).The overall 2-year recurrence-free survival was 94% and 94% in the LARVH and RAH groups,respectively(P = NS).Conclusion Cervical cancer can be treated successfully with LARVH,the main advantages of LARVH are small amount of bleeding and shorter hospitalization,LARVH is especially suitable for the elderly female patients with cervical cancer.
出处
《实用癌症杂志》
2015年第4期506-508,共3页
The Practical Journal of Cancer
关键词
宫颈癌
腹腔镜辅助根治性子宫切除术
根治性子宫切除术
无复发生存率
Cervical cancer
Laparoscopic-assisted radical vaginal hysterectom(LARVH)
Radical abdominal hysterectomy(RAH)
Recurrence-free survival
