The Clinical Effect of Hysterectomy and Lymph Node Dissection under Laparoscope on Elderly Patients with Cervical Cancer
10.13241/j.cnki.pmb.2017.24.038
- VernacularTitle:腹腔镜下行子宫切除术及淋巴清扫术治疗老年子宫颈癌的疗效
- Author:
Yanling DU
;
Meng HOU
;
Yan ZHU
;
Xiaxing LIU
;
Yan LIU
- Keywords:
Laparoscope;
Hysterectomy;
Elderly patients with cervical cancer;
Curative effect;
Lymph node dissection
- From:
Progress in Modern Biomedicine
2017;17(24):4755-4758,4789
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the curative effect of hysterectomy and lymph node dissection with laparoscope or laparotomy on elderly patients with cervical cancer.Methods:60 elderly patients with cervical cancer were enrolled in our hospital from January 2014 to January 2016 and randomly divided into two groups.Group A (n=30) accepted hysterectomy and lymph node dissection with laparotomy,and Group B (n=30) adopted same surgery with laparoscope,the operation condition and postoperative recovery were compared between two groups.The intraoperative and postoperative complications of all patients were recorded and analyzed,and the quality of life of patients was evaluated in the following-up period.Results:The number of lymph node dissection in Group B was significantly more than that of Group A (P＜0.05);the intraoperitive blood loss and the times of using postoperative analgesia pump in Group B were significantly fewer than those in Group A (P＜0.05).The time of postoperative exhaust,bladder function recovery,drainage tube retention and hospital stay in Group B were all shorter than those in Group A(P＜0.05).The incidence of massive hemorrhage during operation and postoperative urinary retention and lymphatic cyst in Group B were significantly lower than those patients in Group A (P＜0.05).After operation 3 and 6 month,the I-QOL and FACT-G scores of patients in Group B were significantly higher than those in Group A (P＜0.05).Conclusions:Hysterectomy and lymph node dissection under laparoscope had remarkable curative effect on the elderly patients with cervical cancer,which improved the postoperative recovery and the quality of life of patients.
