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腹腔镜辅助阴式子宫切除术治疗早期子宫癌的护理配合 被引量:4
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作者 徐园霞 《基层医学论坛》 2016年第13期1876-1877,共2页
目的探讨腹腔镜辅助阴式子宫切除术治疗早期子宫癌的护理配合。方法选取2013年12月—2014年12月我院收治的早期子宫癌患者72例,按照入院顺序随机分为观察组与对照组各36例,对照组予以常规治疗,观察组在对照组的基础上予以综合护理,观察... 目的探讨腹腔镜辅助阴式子宫切除术治疗早期子宫癌的护理配合。方法选取2013年12月—2014年12月我院收治的早期子宫癌患者72例,按照入院顺序随机分为观察组与对照组各36例,对照组予以常规治疗,观察组在对照组的基础上予以综合护理,观察2组患者的护理效果。结果观察组患者下床活动时间及住院天数为(0.9±0.5)h、(4.5±0.3)d明显低于对照组的(1.8±0.7)h、(7.3±0.6)d,差异有统计学意义(P<0.05)。结论综合护理对行腹腔镜辅助阴式子宫切除术的早期子宫癌患者效果显著,值得临床推广应用。 展开更多
关键词 早期子宫癌 腹腔镜 阴式子宫切除术 护理
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腹腔镜下广泛子宫切除加盆腔淋巴结清扫术治疗早期宫颈癌的疗效观察 被引量:2
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作者 张亚杰 《中国医药指南》 2014年第35期46-47,共2页
目的验证腹腔镜下广泛子宫切除加盆腔淋巴结清扫术治疗早期宫颈癌疗效佳。方法选择我院确诊为早期宫颈癌患者156例,按照患者及家属意愿分为腹腔镜组及开腹组,分别施以腹腔镜下或开腹广泛子宫切除并盆腔淋巴结清扫,术中观察两组患者出血... 目的验证腹腔镜下广泛子宫切除加盆腔淋巴结清扫术治疗早期宫颈癌疗效佳。方法选择我院确诊为早期宫颈癌患者156例,按照患者及家属意愿分为腹腔镜组及开腹组,分别施以腹腔镜下或开腹广泛子宫切除并盆腔淋巴结清扫,术中观察两组患者出血量、脏器损伤等,术后观察两组排气情况、术后感染发生情况等,比较两组治疗效果。结果治疗后腹腔镜组在术中出血量方面较开腹组明显偏少,经统计学分析t=8.63,P<0.05,其他方面均未见明显差异;术后腹腔镜组消化系恢复时间及下床活动时间均较开腹组短,经统计学分析比较t值分别为6、7.71,P<0.05,有差异,余下两项经比较未见明显差异,P>0.05。结论在腹腔镜下行广泛子宫切除并盆腔淋巴结清扫疗效较常规开腹治疗疗效更肯定,与手术相关各方面均较传统治疗佳,受到医患双方满意,适宜临床广泛推广应用。 展开更多
关键词 早期子宫癌 腹腔镜 广泛子宫切除 盆腔淋巴结清扫术
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早期子宫颈癌患者腹腔镜下保留生育功能手术的疗效及预后分析 被引量:2
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作者 李波 《当代医学》 2018年第26期109-111,共3页
目的观察早期子宫颈癌患者在腹腔镜下行保留生育功能手术的疗效,并观察患者的预后情况。方法选择2013年1月~2014年12月的早期子宫颈癌患者共64例分为对照组和观察组,各32例。对照组采用开腹手术,观察组采用腹腔镜下保留生育功能手术,对... 目的观察早期子宫颈癌患者在腹腔镜下行保留生育功能手术的疗效,并观察患者的预后情况。方法选择2013年1月~2014年12月的早期子宫颈癌患者共64例分为对照组和观察组,各32例。对照组采用开腹手术,观察组采用腹腔镜下保留生育功能手术,对比两组患者的临床效果和3年复发率。结果观察组手术时间、肛门排气时间、住院时间、术中出血量和恢复自主排尿时间均少于对照组(P<0.05),根据Kaplan-meier生存曲线结果显示,对照组的3年复发率(6.25%)和观察组的3年复发率(3.13%)对比结果差异无统计学意义。结论早期子宫颈癌患者采用腹腔镜下保留生育功能手术能有效缩短手术时间和住院时间,具有较好的临床疗效,且不会加重患者的预后,临床应用价值较高。 展开更多
关键词 早期子宫癌 腹腔镜 生育功能 复发率
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Detection of expression of vascular endothelial growth factor C/VEGFR-3 in early stage cervical cancer by tissue microarray assay and its significance 被引量:1
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作者 SHANG Hai-xia WU Su-hui LI Ying 《山西医科大学学报》 CAS 2009年第9期845-849,共5页
关键词 早期子宫癌 诊断 淋巴结转移 动脉血管
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RESPONSE OF EARLY STAGE BULKY CERVICAL SQUAMOUS CARCINOMA TO PREOPERATIVE ADJUVANT CHEMOTHERAPY 被引量:2
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作者 HuaLingh Xiao-rongXu Yao-yuMei Jun-yingTang Liang-danTang TongSun 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第2期116-119,共4页
Objective To investigate the potential role of preoperative adjuvant chemotherapy on early stage cervical squamous carcinoma with bulky tumor. Methods One hundred and forty-five patients with cervical squamous cancer ... Objective To investigate the potential role of preoperative adjuvant chemotherapy on early stage cervical squamous carcinoma with bulky tumor. Methods One hundred and forty-five patients with cervical squamous cancer stagesⅠb-Ⅱa were investigated, among which17 patients with bulky tumors (≥4 cm) were managed by cisplatin-based chemotherapy for 1-2 courses followed by radical hysterectomy and pelvic lymphadenectomy (BC group). The change of tumor size, pelvic lymph nodes metastasis, cervical wall invasion, the involvement of surgical specimen margin, and the blood loss during operation were assessed after opera-tion and compared with those in 51 patients with bulky tumors (BN group) and 77 patients with small local tumors (S group) who underwent surgery directly. Results (1) The tumor size of 17 patients in BC group were decreased in various degrees after chemotherapy, with 13 pati-ents of clinical effectiveness (76.47%). And the responsiveness pertained to neither histological differentiation nor size of local tumors. (2) Post-operative histology has showed that patients in BC and BN group have higher incidence of lymph node metastasis and deep cervical infiltration (5/68 and 3/68, respectively) than in S group (1/77 and 1/77, respectively) while with no statistical significance. (3) Blood loss during operation in BC group was less than BN and S group. (4) Seventeen patients, including those underwent surgeries of vaginal prolongation and/or ovarian transposition, appeared disease-free survival within the follow-up time. Conclusions Most of patients with bulky early stage cervical squamous carcinoma are sensitive to cisplatin-based chem-otherapy, which could greatly reduce local tumor size and in turn facilitate the following operation by well controlling blood loss. 展开更多
关键词 cervical carcinoma bulky tumor CHEMOTHERAPY
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Comparative proteomic study of cervical cancer with different radiotherapy sensitivity
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作者 Liang Zeng Hong Zhu +3 位作者 Dajun Li Haiping Pei Yaping Deng Jun Yuan 《The Chinese-German Journal of Clinical Oncology》 CAS 2009年第4期219-224,共6页
Objective: To investigate the proteornic differences between the high-sensitivity (HS) group and low-sensitivity (LS) group of cervical cancer treated by radiotherapy and confirm the radiotherapy sensitivity asso... Objective: To investigate the proteornic differences between the high-sensitivity (HS) group and low-sensitivity (LS) group of cervical cancer treated by radiotherapy and confirm the radiotherapy sensitivity associated proteins in early cervical cancer. Methods: The fresh carcinoma tissues were collected from 10 untreated cervical cancer patients and preserved in the -80 ℃ refrigeratory. The tissues were classified into two groups: high sensitivity group (HS) and low sensitivity group (LS), according to their response to radiotherapy. In the first part of our experiment, protein separating was performed by using two-dimensional gel electrophoresis (2-DE) with Amersham 18 cm linear pH 3-10 immobilized pH gradient (IPG) strips. The images of the gels were acquired by the scanner and then analyzed by using PD-quest7.3 software to find the differentially expression protein-spots in each group. Then the differentially expressed protein-spots was incised from the gels and digested by trypsin. The peptide mass fingerprintings (PMF) was acquired by matrix assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF-MS) and the proteins were identified by data searching in the Mascot-database. Part of differentially expression proteins were assayed by Western Blot. Results: Most of the gels were clear and successfully analyzed by PD-quest7.3 software. Most of the protein-spots concentrated on the area of 20-100Kda (Mw) and pH4-8. The average number of the protein-spots was 754 ± 64 in HS group and 777 ±48个 in LS group. The match rate was 87.6% between two groups. Five high expression proteins were found in HS group which were low expression in LS group, 3 high expression protein were found in LS group which were low expression in HS group. Reselts of Western Blot were in coincidence to proteomic result. Conclusion: The 2-DE gels image of HS group and LS group with early cervical cancer tissues treated by radiotherapy are successfully acquired. Some differentially expression proteins between the two groups are further confirmed by immunohistochemical assay. 展开更多
关键词 cervical cancer radiotherapy proteomics two-dimensional gel electrophoresis mass spectrometry
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The early efficacy of the nedaplatin and megestrol combine chemoradiotherapy to the advanced cervical cancers
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作者 Qinghua Ke Shiqiong Zhou Xiaoyan Su Zheng Liu Wentao Zhang Jiyuan Yang 《The Chinese-German Journal of Clinical Oncology》 CAS 2011年第8期480-483,共4页
Objective: The aim of this study was to investigate the early outcome of the nedaplatin and megestrol combine chemoradiotherapy to the advanced cervical cancer. Methods: Forty-two cases with cervical cancer (FIGO l... Objective: The aim of this study was to investigate the early outcome of the nedaplatin and megestrol combine chemoradiotherapy to the advanced cervical cancer. Methods: Forty-two cases with cervical cancer (FIGO lib to IVa) were divided randomly into two groups, radiotherapy alone (RT group: 21 cases) and radiation combines chemotherapy (nedaplatin and megestrol) (RT + C group: 21 cases). There was no difference of radiotherapy between the two groups, the RT + C group accepted nedaplatin injection during the radiation weekly, according to 30 mg/m^2 ,these regimen were given for 4-5 weeks. This group was received an oral medicine megestro1160 mg every day during the treatment. Results: The RT + C group: the complete remission rate was 80.9% (17/21), the partial remission rate was 19.1% (4/21), the effective rate was 100%. The RT group: the complete remission rate was 38.1% (8/21) and partial remission rate was 32.9% (9/21), the effective rate was 81.0%. The total effective rate and complete remission rate of RT + C group were higher than RT group. There was significant difference between the two groups. The 1-year survival rates respectively were 100% (21/21) in RT + C group, 80.9% (17/21) in RT group. There was statistically significant difference between the two groups (x^2 = 4.42 〉 3.84, P 〈 0.05). Conclusion: The nedaplatin and megestrol combine chemoradiotherapy can improve the early outcome of the advanced cervical cancer, and the adverse effects was raised, but that can be endured. 展开更多
关键词 CERVICAL NEDAPLATIN CHEMORADIOTHERAPY
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