發(fā)布時(shí)間：2018-08-06 14:11

【摘要】：目的探討腹腔鏡下腹股溝淋巴清掃術(shù)治療外陰癌的臨床效果。方法將外陰癌患者56例根據(jù)術(shù)式分為2組,對(duì)照組27例患者采用改良外陰廣泛切除術(shù)聯(lián)合腹股溝淋巴結(jié)切除術(shù)治療,觀察組29例患者采用腹腔鏡下腹股溝淋巴清掃術(shù)治療,術(shù)后隨訪1 a,比較2組患者的手術(shù)指征、手術(shù)療效、并發(fā)癥情況、術(shù)后1 a生存情況及復(fù)發(fā)情況。結(jié)果觀察組患者手術(shù)時(shí)間、術(shù)中出血量、術(shù)后拔管時(shí)間、切口愈合時(shí)間、術(shù)后住院時(shí)間均明顯小于對(duì)照組,淋巴結(jié)切除數(shù)明顯多于對(duì)照組,并發(fā)癥發(fā)生率明顯低于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義(P均0.05)。2組術(shù)后1 a生存率、術(shù)后1 a復(fù)發(fā)率比較均無(wú)統(tǒng)計(jì)學(xué)差異(P均0.05)。結(jié)論腹腔鏡下腹股溝淋巴清掃術(shù)是治療外陰癌的有效方法,對(duì)患者造成的創(chuàng)傷較小,利于患者的術(shù)后恢復(fù),可明顯縮短患者的治療時(shí)間,治療更為徹底,引發(fā)的并發(fā)癥少,安全性更高,值得臨床推廣使用。
[Abstract]:Objective to investigate the clinical effect of laparoscopic inguinal dissection for vulvar carcinoma. Methods 56 patients with vulvar carcinoma were divided into two groups according to the operation method. 27 patients in the control group were treated with modified vulvar extensive excision combined with inguinal lymph node resection, and 29 patients in the observation group were treated with laparoscopic inguinal lymph dissection. All patients were followed up for 1 year. The indications, curative effects, complications, survival and recurrence of the two groups were compared 1 year after operation. Results the operative time, blood loss, extubation time, incision healing time, postoperative hospitalization time, lymph node excision rate and complication rate in the observation group were significantly lower than those in the control group, and the incidence of complications in the observation group was significantly lower than that in the control group. There was no significant difference in 1 year survival rate and 1 year recurrence rate between the two groups (P 0.05). Conclusion Laparoscopic inguinal lymph dissection is an effective method for the treatment of vulvar carcinoma. It is more safe and worthy of clinical application.
【作者單位】： 山東省鄒平縣中醫(yī)院;
【分類號(hào)】：R737.35

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