腹腔镜淋巴结切除治疗妇科恶性肿瘤的临床应用价值

The clinical application value of laparoscopic lymph node excision clinical value for the treatment of gynecologic malignant tumor

目的观察腹腔镜淋巴结切除术治疗妇科恶性肿瘤的临床效果。方法 42例I期妇科恶性肿瘤患者按照随机数字表法将其分组为两组。对照组：采用开腹手术治疗;观察组：宫颈癌行腹腔镜广泛子宫切除＋盆腔淋巴结切除;内膜癌行腹腔镜筋膜外子宫切除＋盆腔淋巴结切除。内膜癌均行腹主动脉旁淋巴结切除或取样。观察比较两组患者的平均手术时间和出血量以及并发症、术后肛门排气时间、术后补充治疗间隔时间、留置尿管时间,进行比较和分析。结果观察组的平均手术时间和出血量以及术后肛门排气时间、术后并发症、留置尿管时间、术后补充治疗间隔时间均明显优于对照组（P〈0.05）。两组患者随访6～12个月,平均（11.0±1.0）个月,不存在穿刺口和切口以及外阴肿瘤转移情况。结论临床对恶性肿瘤患者采用腹腔镜淋巴结切除术治疗,能够提高治疗效果,且安全可靠。

Objective The gynecological malignant tumor of inpatients were treated by laparoscopic lymphadenectomy. The clinical effect of treatment was observed and analyzed. Methods 42 patients with stage I of gynecologic malignant tumors. According to random number table method,these patients were grouped into observation group and control group. Patients of control group were treated with open operation. Patients of observation group were treated with extensive total hysterectomy adding pelvic lymph nodes were performed. with the average operation time and blood loss,complications and postoperative anal exhaust time,postoperative supplementary treatment time interval,time placing a urinary catheter were observed,analyzed and compared two groups of patients. Results The average operation time and blood loss and postoperative anal exhaust time,postoperative complications,time placing a urinary catheter,postoperative supplementary treatment time interval of observation group were significantly better than that of control group（ P〈 0. 05）. In addition,the two groups were treated for a follow- up 6 ～ 12 months,mean follow- up（ 11.0 ±1.0） months. There is no puncture and incision and vulvar cancer metastasis in two groups patients. Conclusion Patients with malignant tumor can be treated by laparoscopic lymphadenectomy. This method can improve the effect of treatment,and is safe and reliable.