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目的分析探讨腹腔镜下子宫根治术在治疗子宫恶性肿瘤中的临床应用及效果。方法回顾性分析2009年1月-2012年6月期间于贵港市人民医院妇科进行腹腔镜下广泛全子宫切除和盆腔淋巴结清扫术的30例子宫恶性肿瘤患者(其中16例子宫颈癌,14例子宫内膜癌),统计并分析患者的手术时间、术中出血量情况、淋巴结切除数目以及手术预后情况等。结果广泛全子宫切除术成功率90%,盆腔淋巴结切除术成功率100%,手术平均时间为(193.5±21.4)min,术中平均出血量为(302.5±87.9)ml,切除淋巴结平均数目为(15.5±6.2)个。结论腹腔镜下子宫根治术应用于子宫恶性肿瘤具有良好的临床疗效,提高了该种疾病的治愈率,改善了患者的生活质量,值得在临床推广及应用。
Objective To analyze the clinical application and effect of laparoscopic radical hysterectomy in the treatment of uterine malignancies. Methods A retrospective analysis of 30 cases of uterine malignancies (including 16 cases of cervical cancer and 14 cases of uterine cervix cancer) underwent laparoscopic radical hysterectomy and pelvic lymphadenectomy in the gynecology department of Guigang People’s Hospital from January 2009 to June 2012 was retrospectively analyzed. Endometrial cancer), statistics and analysis of the patient’s operation time, intraoperative blood loss, the number of lymph node dissection and surgical prognosis. Results The success rate of wide hysterectomy was 90%, and the success rate of pelvic lymphadenectomy was 100%. The average operation time was (193.5 ± 21.4) min. The average amount of bleeding during operation was (302.5 ± 87.9) ml. The average number of resected lymph nodes was ( 15.5 ± 6.2). Conclusion The application of laparoscopic radical hysterectomy in uterine malignancies has good clinical curative effect, improves the cure rate of the disease and improves the quality of life of the patients, which is worthy of clinical promotion and application.