摘要
目的:分析宫颈癌根治术的并发症及降低并发症的方法。方法:39例早期宫颈癌行广泛性子宫切除术加盆腔淋巴结清扫术,其中临床分期ⅠA期4例,占10.25%;ⅠB期23例,占58.97%;ⅡA期12例,占30.76%。鳞癌34例,占87.18%,腺癌和腺鳞癌5例,占12.82%。结果:发生手术并发症9例,发生率为23.07%。手术并发症主要为尿潴留、淋巴囊肿、腹部伤口感染,发生率分别为15.38%、12.82%、5.12%。结论:熟悉盆腔解剖,提高手术熟练程度,术中仔细操作,术后使用广谱抗生素,加强护理,及早发现并处理并发症的前兆表现,可以降低手术并发症的发生率。
Objective：To analyze the complications of radical hysterectomy plus pelvic lymphadenectomy in cervical cancer patients and the methods of decreasing complication.Methods：From 2000 to 2005,39 early stage cervical cancer patients were treated by radical hysterectomy plus [KG（9]pelvic lymphadenectomy.The stages were：4 stageⅠA[KG）]（10.25%）;23 stageⅠB（58.97%）,12 stageⅡA（30.76%）.Results：A total of 9 patients（23.07%） developed postoperative complications.The major complications included：bladder dysfunction（15.38%）;formation of lymphocysts（12.82%）;wound infection（5.12%）.Conclusion：The complications of radical hysterectomy with pelvic lymphadenectomy could be avoided through being familiar with pelvic anatomy,better surgical skill,reasonable post operative antibiotics and properly reducing the extent of surgery.
出处
《现代肿瘤医学》
CAS
2007年第10期1485-1487,共3页
Journal of Modern Oncology
关键词
宫颈癌
手术
并发症
cervical carcinoma
surgery
complication
