摘要
目的 分析腹腔镜下广泛全子宫切除术加盆腔淋巴结切除术治疗子宫恶性肿瘤的实用价值。方法 回顾分析 1999年 8月至 2 0 0 3年 12月 5 1例子宫颈癌和 34例子宫内膜癌的手术情况 ,总结其手术时间、术中出血量、淋巴结切除数目及预后情况。结果 盆腔淋巴结切除术成功率 10 0 % ,广泛全子宫切除术成功率 98 82 % ,手术时间 (2 86 4 3± 75 6 7)min ,术中出血量 (331 0 8± 2 94 32 )mL ,淋巴结切除 (2 2 73± 5 79)个 ,术中重要脏器损伤发生率 8 2 4 % ,术后并发症发生率 30 5 9% ,子宫颈癌术后复发率 7 80 % ,子宫内膜癌术后复发率 2 94 %。结论 腹腔镜下广泛全子宫切除加盆腔淋巴结切除术可以作为早期子宫恶性肿瘤手术治疗的方法之一 ,短期效果良好 。
Objective To evaluate the value of laparoscopic radical hysterectomy(LRH) and pelvic lymphadenectomy in the treatment of uterine malignancies.Methods A retrospective study was made on fifty one cases of cervical carcinoma and thirty four cases of endometrial carcinoma undergoing LRH,the operative time,intraoperative blood loss,number of lymph nodes excised and prognosis were retrospectively analysed.Results The success rate of pelvic lymphadenectomy and laparoscopic radical hysterectomy were 100% and 98 82% respectively.The mean operative time was (286 43±75 67)min,the mean operative blood loss was (331 08±294 32)mL.Average number of pelvic lymph nodes excised was 22 73±5 79,the traumatic rate for important viscer was 8 24%,and the postoperative complication rate was 30 59%.The recurrent rate of cervical carcinoma was 7 80%,and it was 2 94% for endometrial carcinoma.Conclusion Laparoscopic radical hysterectomy and pelvic lymphadenectomy may be one of the choices for uterine malignancy in early stage,the short term effects are good,but the long term effect should be further investigated.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2004年第8期484-485,共2页
Chinese Journal of Practical Gynecology and Obstetrics
