›› 2011, Vol. 23 ›› Issue (1): 58-060.doi: 10.3969/j.issn.1004-616x.2011.01.015

• 肿瘤防治 • 上一篇    下一篇

在宫颈癌根治术中后腹膜开放与关闭的术后并发症对照研究

李从铸1,许少榆2,周 莉1,朱 彦1   

  1. 1.汕头大学医学院附属肿瘤医院妇瘤科, 广东　汕头2. 汕头大学医学院， 广东 汕头
  • 收稿日期:2010-09-03 修回日期:2010-10-05 出版日期:2011-01-30 发布日期:2011-01-30
  • 通讯作者: 李从铸

Opened or closed posterior peritoneum in radical hysterectomy in patients with cervical cancer

LI Cong-zhu1,XU Shao-yu2,ZHOU Li1，ZHU Yan1   

  1. 1. Department of Gynecologic Oncology, Cancer Hospital of Shantou University Medical Colleg, Shantou 515041; 2. Shantou University Medical College, Shantou 515041, Guangdong, China
  • Received:2010-09-03 Revised:2010-10-05 Online:2011-01-30 Published:2011-01-30
  • Contact: LI Cong-zhu

PDF

1265

摘要： 分析宫颈癌根治术后的后腹膜关闭与否对患者术后并发症的影响。方法: 回顾分析2006年1月至2008年12月期间，汕头大学医学院附属肿瘤医院收治的260例行子宫广泛切除并盆腔淋巴结清扫术的宫颈癌患者，其中开放后腹膜组115例，关闭后腹膜组145例，对比2组在手术时间、术后淋巴囊肿形成、下肢淋巴回流障碍或静脉血栓形成出现的下肢肿胀以及肠梗阻发生的差异。 结果: 开放后腹膜组手术时间明显短于关闭后腹膜组(P<0.05)；开放后腹膜组患者术后盆腔淋巴囊肿发生率明显低于关闭后腹膜组(P < 0.05)；开放后腹膜组术后因淋巴回流障碍或静脉血栓形成出现下肢肿胀的发生率明显低于关闭后腹膜组(P < 0.05)；术后发生肠梗阻的情况2组间的差异无统计学意义(P>0.05)。 结论: 宫颈癌根治术行盆腔淋巴结清扫后开放后腹膜可缩短手术时间，并且可减少术后并发症的发生。

关键词: 宫颈癌, 子宫颈癌根治术, 并发症, 淋巴囊肿

Abstract: To evaluate the correlation of complications with opened or closed posterior peritonum in radical hysterectomy for cervical cancer. METHODS: From January 2006 to December 2008，260 patients with radical hysterectomy and lymphadenectomy for cervical cancer from the Cancer Hospital affiliated to Shantou University Medical College were divided into two groups: 115 cases with peritoneum opened in group A and 145 cases with peritoneum closed in group B. The operation time, lymphatic cyst formation, obstruction of lymphatic return, phlebothrombosis, intestinal obstruction were compared between the two groups. RESULTS: The operation time of group A was obviously shorter than group B (P < 0.05). Lymphatic cyst formation in group A was significant(P < 0.05) compared to group B. Group A had fewer (P< 0.05) obstruction of lymphatic return or phlebothrombosis than the group B. Intestinal obstruction was insignificantly different (P > 0.05) between the two groups. CONCLUSION: Patients treated with peritoneum opened in radical hysterectomy and lymphadenectomy for cervical cancer could shorten the operation time, and would result in fewer postoperative complications.

Key words: cervical cancer, radical hysterectomy, complications, lymphatic cyst

版权所有 ©2019 《癌变·畸变·突变》编辑部 E-mail： office@egh.net.cn
本系统由北京玛格泰克科技发展有限公司设计开发 技术支持：support@magtech.com.cn
粤ICP备 10216025号