本文選題：腹腔鏡 + 宮頸癌�。� 參考：《昆明醫(yī)科大學》2014年碩士論文

【摘要】：目的： 回顧性分析2012年10月-2014年1月昆明醫(yī)科大學第一臨床醫(yī)院收治的51例宮頸癌患者的臨床資料,探討腹腔鏡手術(shù)治療早期子宮頸癌的應(yīng)用價值。 方法： 選取在昆明醫(yī)科大學第一臨床醫(yī)院婦科行手術(shù)治療的宮頸癌患者51例,其中26例接受腹腔鏡廣泛子宮切除及盆腔淋巴結(jié)清掃術(shù)(LRH組),25例接受開腹廣泛全子宮切除及盆腔淋巴結(jié)清掃術(shù)(ARH組),比較兩種術(shù)式的手術(shù)時間、術(shù)中出血量、術(shù)后恢復(fù)情況及手術(shù)并發(fā)癥等。 結(jié)果： 腹腔鏡組術(shù)后并發(fā)癥發(fā)生率為26.9%,開腹組為12%,開腹組明顯低于腹腔鏡組.LRH組26例,手術(shù)時間90～370min,平均(280.6±69.7)min,術(shù)中出血100-3000ml,平均(751.9±825.4)ml,平均切除淋巴結(jié)(15.1±9.1)個。ARH組25例,手術(shù)時間145-360min,平均(234.3±55.8)min,術(shù)中出血200～3000ml,平均(566.2±606.5)ml,平均切除淋巴結(jié)(17.2±9.1)個。LRH組手術(shù)時間略多于ARH組,兩組手術(shù)時間有明顯差異(P0.05),LRH組術(shù)后并發(fā)癥的發(fā)生率為26.9%,ARH組術(shù)后并發(fā)癥的發(fā)生率為12%,X2=0.978,P=0.323(P0.05)無明顯統(tǒng)計學差異. 結(jié)論： 腹腔鏡與開腹手術(shù)都可作為子宮頸癌根治術(shù)的術(shù)式之一,腹腔鏡手術(shù)具有創(chuàng)傷小,術(shù)后恢復(fù)快等優(yōu)點。
[Abstract]:Objective:The clinical data of 51 patients with cervical cancer treated in the first Clinical Hospital of Kunming Medical University from October 2012 to January 2014 were analyzed retrospectively to explore the value of laparoscopic surgery in the treatment of early cervical cancer.Methods:Fifty-one patients with cervical cancer undergoing gynecological surgery in the first Clinical Hospital of Kunming Medical University were selected.Twenty-five patients in LRH group underwent laparoscopic extensive hysterectomy and pelvic lymph node dissection, and 25 patients underwent open hysterectomy and pelvic lymph node dissection. The time of operation and the amount of blood lost during operation were compared between the two groups.Postoperative recovery and complications.Results:The operative time was 145-360 min (mean 234.3 鹵55.8 min), intraoperative bleeding was 2000.000 ml (mean 566.2 鹵606.5 ml) and lymph node resection was 17.2 鹵9.1%. The operative time of LRH group was slightly longer than that of ARH group.There was significant difference between the two groups in the operative time. There was no significant difference in the incidence of postoperative complications between the two groups. The incidence of postoperative complications was 26.9in the ARH group. The incidence of postoperative complications in the ARH group was 120.978% (P < 0.05). There was no significant difference in the incidence of postoperative complications between the two groups.Conclusion:Laparoscopy and open surgery can be used as one of the methods of radical cervical cancer surgery, laparoscopic surgery has the advantages of less trauma, quick recovery and so on.
【學位授予單位】：昆明醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R737.33

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