|
|
Effect comparison of laparoscopic and open radical resection of cervical cancer combined with abdominal para-aortic lymph node dissection in the treatment of early cervical cancer |
QIU Yi |
Department of Gynecology and Obstetrics,Zaoyang Traditional Chinese Medicine Hospital,Hubei Province,Zaoyang 441200,China |
|
|
Abstract Objective To compare the clinical effects of laparoscopic and open radical resection of cervical cancer combined with para-aortic lymph node dissection in the treatment of early cervical cancer.Methods Ninety patients with early cervical cancer who were admitted to our hospital from December 2013 to December 2015 were selected as the subjects,and divided into the control group and an observation group by random sampling,with 45 cases in each group.The control group was treated with open radical laparoscopic radical resection combined with para-aortic lymph node dissection.The observation group was treated with laparoscopic and para-aortic lymph node dissection.The operation,postoperative complications and survival rate of the two groups were observed,and the treatment effect was compared.Results The exhaust time,drainage tube removal time of the observation group were shorter than those of the control group,and intraoperative bleeding volume of the observation group was less than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group (P<0.05).There was no significant difference in 1,2 and 3 years survival rate between the two groups (P>0.05).Conclusion Laparoscopy combined with para-aortic lymph node dissection for the treatment of patients with early cervical cancer is effective,can shorten exhaust time,drainage tube extraction time,and reduce intraoperative blood loss,and postoperative complications are less,and has higher safety.It has clinical application value.
|
|
|
|
|
[1] |
王雅芹,孙立新.腹腔镜与开腹手术治疗早期宫颈癌的对比研究[J].中国药物与临床,2017,17(6):899-901.
|
[2] |
高媛,陈龙,张萍,等.腹腔镜辅助阴式与开腹广泛子宫切除术治疗早期宫颈癌的比较[J].中国微创外科杂志,2013,13(8):697-700.
|
[3] |
姚妙星,胡旻.腹腔镜广泛子宫切除联合盆腔腹主动脉旁淋巴结清扫术的围术期护理[J].中国微创外科杂志,2014,14(3):284-286.
|
[4] |
王彤,吴玉梅.宫颈癌分期的历史回顾、面临的问题与未来发展[J].中国医药导报,2017,14(24):46-49.
|
[5] |
窦磊,郭科军.腹腔镜手术在早期子宫内膜癌治疗中的疗效观察[J].中国医科大学学报,2016,45(3):241-245.
|
[6] |
康山.腹腔镜妇科恶性肿瘤淋巴结清扫术中并发症及处理[J].中国实用妇科与产科杂志,2015,31(5):395-398.
|
[7] |
王迪,马彩玲,叶远征,等.腹腔镜与开腹手术比较治疗子宫内膜癌疗效与安全性的Meta分析[J].中国循证医学杂志,2013,13(5):596-604.
|
[8] |
姚妙星,胡旻.腹腔镜广泛子宫切除联合盆腔腹主动脉旁淋巴结清扫术的围术期护理[J].中国微创外科杂志,2014,14(3):284-286.
|
[9] |
张铮铮,经莉,徐浩,等.腹腔镜治疗肥胖型子宫内膜癌患者的临床疗效观察[J].徐州医学院学报,2016,33(12):826-829.
|
[10] |
陈姺,王庆一.腹腔镜下广泛子宫切除并盆髂淋巴结清扫治疗早期宫颈癌的临床体会[J].右江民族医学院学报,2014,36(6):870-871.
|
[11] |
李秀丽,侯彩英,杨怡卓,等.腹腔镜与开腹行宫颈癌根治术的临床比较分析[J].中国煤炭工业医学杂志,2014,17(5):689-692.
|
[12] |
邱伍英,赖燕英.腹腔镜宫颈癌根治术与传统经腹根治术治疗宫颈癌疗效分析[J].中国现代医生,2018,56(34):56-58.
|
[13] |
刘东涌.腹腔镜手术与开腹手术治疗早期宫颈癌的效果比较[J].中外医学研究,2017,15(11):131-132.
|
[14] |
何小艳,张蔚,刘静,等.腹腔镜下腹主动脉旁淋巴结清扫并发症[J].中华腔镜外科杂志(电子版),2016,9(4):253-256.
|
[15] |
毛林,张蔚,胡晓霞.宫颈癌腹腔镜腹主动脉旁淋巴结切除术的手术入路及解剖[J].中华腔镜外科杂志(电子版),2017,10(2):114-117.
|
|
|
|