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腹腔镜广泛全子宫切除及盆腔淋巴结清扫术39例临床分析
引用本文:牛丽佳,张卓梅,赵春艳,同军,王柳燕,张慧鹏,王黎娜.腹腔镜广泛全子宫切除及盆腔淋巴结清扫术39例临床分析[J].中国急救复苏与灾害医学杂志,2011,6(3):247-249.
作者姓名:牛丽佳  张卓梅  赵春艳  同军  王柳燕  张慧鹏  王黎娜
作者单位:1. 中国人民武装警察部队总医院妇产科,北京,100039
2. 中国人民武装警察部队重庆总队医院妇产科
摘    要:目的研究在腹腔镜辅助下行子宫恶性肿瘤根治术的可行性及其近期疗效。方法建立CO2气腹、腹腔镜经腹探查肿瘤浸润程度及脏器转移等,腹腔镜下广。泛性全子宫切除及盆腔淋巴结清扫。对行腹腔镜广泛全子宫切除加盆腔淋巴结清扫术39例的临床资料作回顾性分析。结果39例均在腹腔镜下完成广泛全子宫切除加盆腔淋巴结清扫术,无中转开腹手术。手术时间(230.2±45.9)min,平均236min。术中出血量(298.2±85.3)ml,平均325ml,术中均未输血。清扫淋巴结(17.2±5.6)枚,平均清扫18枚。术中元脏器损伤发生,术后并发症发生率12.82%(5/39)。术后近期生活质量良好,远期生活质量有待观察。结论早期子宫恶性肿瘤行腹腔镜广泛全子宫切除加盆腔淋巴结清扫安全可行,根治效果与开腹手术相近,且具有创伤小、术后恢复迅速等优点。

关 键 词:腹腔镜  子宫恶性肿瘤  全子宫切除  盆腔淋巴结清扫

Clinical analysis of 39 cases undergoing laparoscopic radical hysterectomy and pelvic lymphadenectomy for uterine malignancies
NIU Li-jia,ZHANG Zhuo-mei,ZHAO Chun-yan,TONG JUN,WANG Liu-yan,ZHANG Hui-peng,WANG Li-na.Clinical analysis of 39 cases undergoing laparoscopic radical hysterectomy and pelvic lymphadenectomy for uterine malignancies[J].China Journal of Emergency Resuscitation and Disaster Medicine,2011,6(3):247-249.
Authors:NIU Li-jia  ZHANG Zhuo-mei  ZHAO Chun-yan  TONG JUN  WANG Liu-yan  ZHANG Hui-peng  WANG Li-na
Institution:(Department Obstetrics and GynecologyGeneral Hospital of People's Armed Police Forces, Beijing 100039, China.)
Abstract:Objective To analyze feasibility and prognosis of laparoscopic radical hysterectomy and plevic lymphadenectomy to uterine malignancies. Methods Creating the CO2-insufflation for locating and removing the tumor invasion and tissues transfer by laparoscopic radical hysterectomy and pelvic lymphadeneetomy. Retrospectively analyze the 39 cases that received laparoseopic radical hysterectomy and plevic lymphadenectomy to uterine malignancies. Results All the 39 cases were successfully performed by laparoseopie radical hysterectomy and pelvic lymphadeneetomy with no transferred to opening appendectomy. The operating time was (230.2±45.9) minutes with the mean time of 236min; Blood loss in operation was (298.2±85.3) ml with the mean loss of 325ml, requiring no blood transfusion. The median number of harvested lymph nodes was 18 (range17.2±3.6). No organ damages were found in all cases, and operation complication was 12.82% (5/39). Good quality of life revealed in a foreseeable future, and the life quality in long term is to be observed. Conclusion Laparoseopic radical hysteetomy and plevic lymphadenectomy can be realized as treatment for early uterine malignancies. Like laparotomy and smalhrauma, they carry the similar effort of a quick postoperative recovery.
Keywords:Laparoscope  Uterine malignancies  Radical hysterectomy  Plevic lympbadeneetomy
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