本文選題：子宮頸癌 + 子宮內膜癌��； 參考：《新疆醫(yī)科大學》2014年碩士論文

【摘要】：目的：探討腹腔鏡全麻下盆腔淋巴結清掃術后形成并發(fā)癥及盆腔淋巴囊腫的診治情況,術中及術后各類指標的變化,淋巴囊腫形成的影響因素、其他并發(fā)癥發(fā)生情況及處理方式,尋找能更有效預防,處理,治療的方法,以盡量減少手術后并發(fā)癥,提高患者的手術后生活質量,提供臨床指導價值。方法：回顧性分析了從2011年12月至2013年10月在新疆腫瘤醫(yī)院婦外一科進行腹腔鏡下宮頸癌根治術和子宮內膜癌根治術患者相關的臨床資料,對年齡、腫瘤類型、分期、出血量、淋巴結清掃個數(shù)、術前行新輔助化療、術前低蛋白血癥、術后輔助化療、手術后并發(fā)癥的發(fā)生情況及處理方式、盆腔淋巴囊腫的發(fā)生、處理、治療和轉歸等進行統(tǒng)計處理和回顧性分析。結果：宮頸癌112例和子宮內膜癌77例腹腔鏡手術均順利完成,手術后觀察各項指標。對高齡,既往有腹部手術史,有內科合并癥并不增加手術并發(fā)癥的發(fā)生。結論：熟悉解剖、操作仔細,減少并發(fā)癥的發(fā)生,術后留置尿管不宜少于7天,不宜超過14天,以免泌尿系感染引起尿潴留,既往有腹部手術史及有內科合并癥并未增加手術并發(fā)癥的發(fā)生,術前行新輔助化療是影響盆腔淋巴囊腫形成的危險因素。
[Abstract]:Objective: to investigate the complications of pelvic lymph node dissection under laparoscopic general anesthesia, the diagnosis and treatment of pelvic lymphocysts, the changes of various indexes during and after operation, and the influencing factors of lymphocyst formation. In order to reduce the postoperative complications, improve the quality of life of the patients, and provide clinical guidance, we should find more effective methods to prevent, treat and treat other complications. Methods: from December 2011 to October 2013, the clinical data of patients undergoing laparoscopic radical cervical cancer resection and radical endometrial carcinoma surgery were analyzed retrospectively, including age, tumor type, stage, bleeding volume. The number of lymph nodes dissection, preoperative neoadjuvant chemotherapy, preoperative hypoproteinemia, postoperative adjuvant chemotherapy, occurrence and treatment of postoperative complications, occurrence and treatment of pelvic lymphocysts, Treatment and outcome were analyzed statistically and retrospectively. Results: 112 cases of cervical cancer and 77 cases of endometrial carcinoma were successfully performed laparoscopic surgery. For old age, previous history of abdominal surgery, medical complications do not increase the incidence of surgical complications. Conclusion: familiar with anatomy, careful operation, reduce the incidence of complications, postoperative indwelling urethral catheter should not be less than 7 days, should not exceed 14 days, so as to avoid urinary tract infection caused urinary retention. Preoperative neoadjuvant chemotherapy was a risk factor for pelvic lymphocysts.
【學位授予單位】：新疆醫(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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