【摘要】 目的探讨早期宫颈癌腹腔镜手术治疗的可行性及安全性。方法回顾性分析腹腔镜手术38例和开腹手术42例治疗的临床Ⅰa～Ⅱa期宫颈癌患者资料,比较其手术时间、术中出血量、淋巴结清除数目、术后恢复情况、并发症、住院时间等。结果两组手术均获成功,术中无邻近脏器损伤发生,切除的淋巴结数均无显著性差异(P>0.05)。腹腔镜组手术时间、术中出血量、应用抗生素时间、肛门排气时间、术后住院时间明显少于剖腹手术组(P<0.01)。结论腹腔镜下广泛全子宫切除和淋巴结清扫治疗早期宫颈癌是安全、有效的方法,具有创伤小,术后恢复快的优点。更多还原

【Abstract】 Objective To investigate the feasibility and safety of laparoscopic redical hysterectomy for cervical carcinoma in early stages.Methods The data of 38 cases underwent laparoscopic surgery(group L)and those of 42 cases underwent open surgery(group O)for cervical carcinoma in the stages of Ⅰa～Ⅱa were analyzed retrospectively.The blood loss,the times for operation procedure and hospital stay,the number of lymph nodes resected,and postoperative recovery were compared.Results All patients in both groups were operated successfully without damages of neighbour organs.There was no any significant defference in the number of lymph nodes resected between the two groups.The times for operations,hospital stay,use of antibiotics and recovery of bowel movement were remarkably shorter in group L than those in group O,so did the blood loss(P<0.01).Conclusion Laparoscopic redical hysterectomy for cervical carcinoma in early stages is feasible,effective and safe with less trauma and early recovery.更多还原