腹腔镜广泛子宫切除及盆腔淋巴结清扫治疗宫颈癌64例临床分析-妇产科学专业论文.docxVIP

宁夏医科大学硕士学位论文 宁夏医科大学硕士学位论文 中文摘要 恢复快、不影响后续治疗及生活质量等优点，值得临床推广应用。 关键词：腹腔镜，宫颈癌，广泛子宫切除，盆腔淋巴结清扫 宁夏医科大学硕士学位论文 宁夏医科大学硕士学位论文 英文摘要 Clinical analysis of 64 cases of laparoscopic radical hysterectomy and pelvic lymphadenectomy for cervical cancer ABSTRACT Objective：To explore the feasibility and excellence and applied value of laparoscopic radical hysterectomy(LRH) and pelvic lymphadenectomy in the treatment of cervical cancer. Methods：A retrospective analysis was made on 64 cases with stage Ia2～IIa cervical cancer which accepted laparoscopic radical hysterectomy and pelvic lymphadenectomy from november 2010 to september 2012. Some indexes were recorded,such as the operative time, the amount of intraoperative blood loss, number of l ymph nodes excised ,the operation complication, the time of postoperative indwelling catheter and exhaust,pathological result after operation,postoperative morbidity,average postoperative hospitalization days , the interval time of adjunctive therapy after surgery. Results：60 cases operations were successfully performed under laparoscopy. Success rate was 93.75%（60/64）,4 cases were converted to laparotomy, the converted to laparotomy rate was 6.25%(4/64),The mean operating time was 172.42±39.34min, the amount of blood loss in operation was 189.22±139.66ml , 3 cases were given intraoperative blood transfusionthe（4.69%）,amount of the excised lymph nodes was 18.16±2.45, 2 cases of pelvic lymphatic positive, 2 cases of parametrial invasion, 1 cases of vascular invasion,all patients pathological result after surgical margins of parametrial invasion and vagina were found no residual cancer tissues. 1 case of vascular injury during the operation, incidence rate was 1.56 % (1 / 64), 1 case of ureteral injury, incidence rate was 1.56 % (1 / 64), 4 case of urinary retention, incidence rate was 6.25% （4/ 64）, 1 case of ureteral obstruction, incidence rate1.56 % (1 / 64), 1 case of ureteral vaginal fistula,