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目的研究腹腔镜广泛子宫切除加盆腔淋巴结清扫治疗子宫恶性肿瘤的临床效果。方法对于我院于2009年2月至2012年2月收治的50例子宫恶性肿瘤患者进行腹腔镜子宫广泛切除和盆腔淋巴结切除术,并将手术平均时间、出血量、切除淋巴数量、术后并发症等指标进行分析,观察患者手术效果,总结治疗经验。结果 50例患者均实施行腹腔镜广泛全子宫切除及盆腔淋巴结清扫术,其中15例患者较为年轻,保留卵巢组织。平均手术时间为(286±35.9)min,手术过程中的平均出血量为(245±160.5)mL,淋巴平均切除数量为(10±1.5)枚,手术后患者出现发热情况的平均时间为(1.5±1.2)d,平均住院时间为(10±3.1)d。没有出现其他器官损伤情况,无患者死亡情况。结论腹腔镜广泛全子宫切除和盆腔淋巴结切除术对于治疗子宫恶性肿瘤比较安全,效果明显,值得在临床中推广应用。
Objective To study the clinical effect of laparoscopic radical hysterectomy and pelvic lymph node dissection in the treatment of uterine malignancies. Methods A total of 50 patients with uterine malignancies admitted from February 2009 to February 2012 in our hospital underwent laparoscopic radical hysterectomy and pelvic lymphadenectomy. The mean operative time, amount of bleeding, number of resected lymph nodes, postoperative complications Disease and other indicators for analysis, observation of patients with surgical results, summed up the experience of treatment. Results All patients underwent laparoscopic radical hysterectomy and pelvic lymphadenectomy, of which 15 were younger and retained ovarian tissue. The mean operative time was (286 ± 35.9) min. The average amount of bleeding during the operation was (245 ± 160.5) mL. The mean number of lymph nodes resection was (10 ± 1.5). The average time of postoperative fever was (1.5 ± 1.2) d, the average hospital stay was (10 ± 3.1) d. No other organ damage occurred, no patient died. Conclusions Laparoscopic extensive hysterectomy and pelvic lymphadenectomy for the treatment of uterine malignancies more secure, the effect is obvious, it is worth to promote the clinical application.