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目的:分析早期子宫颈癌的腹腔镜手术效果,评价腹腔镜手术在妇科恶性肿瘤治疗中的应用价值。方法:分析21例早期子宫颈癌患者经腹腔镜行广泛性全子宫切除术及盆腔淋巴结清除术的临床资料,观察手术时间、术中出血、术中清扫淋巴数量等,并与国内外开腹手术比较。结果:平均手术时间217 min,平均术中出血量396 ml,术后平均排气时间34 h,平均清除23个淋巴结。结论:早期子宫颈癌经腹腔镜行广泛性全子宫切除术及盆腔淋巴结清除术可达到开腹手术同样的彻底性,对早期子宫颈癌的治疗是切实可行的。
Objective: To analyze the effect of laparoscopic surgery for early cervical cancer and evaluate the value of laparoscopic surgery in the treatment of gynecologic malignancies. Methods: The clinical data of 21 patients with early stage cervical cancer undergoing laparoscopic radical hysterectomy and pelvic lymphadenectomy were analyzed. The operative time, intraoperative bleeding, the number of lymph nodes dissected during operation were analyzed. Surgery comparison. Results: The average operation time was 217 min. The average blood loss was 396 ml. The average postoperative exhaust time was 34 h, with an average of 23 lymph nodes. Conclusion: Laparoscopic radical hysterectomy and pelvic lymph node dissection in early stage of cervical cancer can achieve the same thoroughness of laparotomy, which is feasible for the treatment of early stage cervical cancer.