腹腔镜广泛子宫切除及盆腔淋巴结清扫治疗子宫恶性肿瘤的临床价值

目的探讨腹腔镜广泛子宫切除以及盆腔淋巴结清扫术治疗子宫恶性肿瘤的临床效果。方法选取我院收治的30例行腹腔镜手术及盆腔淋巴结清扫治疗子宫恶性肿瘤病例,对其临床资料进行回顾性分析,选取同期30例行开腹手术行广泛子宫切除及盆腔淋巴结清扫治疗的子宫恶性肿瘤进行对比,观察两组的治疗效果。结果研究组手术时间明显长于对照组,术中清除盆腔淋巴结数量要多于对照组,而术中出血量、术后肛门排气时间、导尿管保留时间以及住院时间均明显少于对照组,研究组并发症发生率明显低于对照组,对比差异显著,均具有统计学意义(P<0.05)。结论腹腔镜下治疗子宫恶性肿瘤疗效确切、创伤小、术后恢复快、手术安全性高,是一种治疗子宫恶性肿瘤比较安全有效的微创手术方法。

The Clinical Value of Laparoscopic Extensive Hysterectomy and Pelvic Lymph Node Dissections Rreatment of Malignant Tumor

Objective To explore the clinical effect of widely laparoscopic hysterectomy and pelvic lymph node dissections treatment of malignant tumor.Methods Select were our 30 routine laparoscopic surgery and pelvic lymph node cleaning treatment of malignant tumor cases,and the clinical data were retrospectively analyzed,the selection of the routine and laparotomy 30 do extensive hysterectomy and pelvic lymph node cleaning treatment of uterine malignant tumor were compared,to observe the therapeutic effect of the two groups.Results The research group operation time obviously longer than control group,but the intraoperative clear pelvic lymph node number is more than control group,and during the operation,the amount of bleeding,postoperative anal exhaust time,catheter retention time and hospital stay were significantly less than control group,the incidence of complications was lower significantly,compared to significant difference,which will have a statistics meaning（P0.05）.Conclusion Laparoscopic treatment of malignant tumor curative effect definite,small trauma,postoperative quick recovery,the safety of the operation high,it is a kind of treatment of malignant tumor is safe and effective minimally invasive surgical method.