宋晓霞 杨秋娟

    江西省新余市人民医院妇产科，江西新余338000

    腹腔镜技术在妇科恶性肿瘤治疗中的应用

    宋晓霞杨秋娟

    江西省新余市人民医院妇产科，江西新余338000

    目的探讨腹腔镜技术在妇科恶性肿瘤治疗中的应用。方法选取我院2014年6月～2016年2月收治的50例宫颈癌及子宫内膜癌患者作为实验组，采取腹腔镜下广泛子宫全切加盆腔淋巴结清扫术。选取同时期来我院进行治疗的42例宫颈癌及子宫内膜癌患者作为对照组，采取开腹下广泛子宫全切加盆腔淋巴结清扫术。观察两组患者手术情况(手术时间、术中失血量、清除淋巴结数目、术后肛门排气时间、术后住院时间)、并发症(淋巴囊肿、下肢静脉血栓、切口感染、输尿管瘘)发生情况。结果实验组手术时间长于对照组，清除淋巴结数目多于对照组，差异有统计学意义(P<0.05)，术中出血量、术后肛门排气时间、术后住院时间低于对照组，差异均有统计学意义(P<0.05)；实验组总并发症发生率低于对照组，差异有统计学意义(P<0.05)。结论腹腔镜技术在妇科恶性肿瘤治疗中的应用效果较好，宫颈癌及子宫内膜癌患者采取腹腔镜下广泛子宫全切加盆腔淋巴结清扫术，可以减少术中出血量、术后肛门排气时间、术后住院时间、并发症，但手术时间较长，增加了手术风险，临床需引起足够的重视。

    腹腔镜；开腹手术；妇科恶性肿瘤；并发症

    [Abstract]Objective To discuss the application of laparoscopy in treatment of gynecologic malignant tumors.Methods 50 patients with cervical cancer and endometrial cancer treated in our hospital from June 2014 to February 2016 were selected as the study group.The patients were given extensive hysterectomy plus pelvic lymph node dissection under laparoscope.Another 42 patients with cervical cancer and endometrial cancer treated in our hospital during the same time period were selected as the control group and these patients were given extensive hysterectomy plus pelvic lymph node dissection by open surgery.The operative parameters(operation duration ......