Effect of Clinical Results, Lymph Removal Effect and Complication Rates of Different Operation for Patients with Malignant Tumors
10.11969/j.issn.1673-548X.2018.05.033
- VernacularTitle:不同术式治疗子宫恶性肿瘤的临床效果、淋巴清除效果及并发症发生率分析
- Author:
Rendong HAN
1
;
Mengsong SUI
;
Jinhong CHEN
Author Information
1. 同济大学附属第一妇婴保健院妇科
- Keywords:
Malignant tumor;
Laparoscope hysterectomy;
Open widely uterine;
Pelvic lymph nodes cleaning
- From:
Journal of Medical Research
2018;47(5):135-138
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect,lymph removal effect and complication rates of different operative methods for treatment of uterine malignant tumor.Methods Eighty two patients with malignant tumor were selected as objection from February 2014 to January 2014.The research objects were divided into control group and observation group via operation method.Control group were given open widely uterus resection treatment and pelvic lymph node cleaning,and the observation group were given laparoscopic treatment of extensive hysterectomy combined with pelvic lymph node cleaning.The intraoperative blood loss,operation time anal exhaust time,length of stay,expenses,lymph node and complications were observed.Results The operation time 165.34 ± 20.16min and intraoperative blood loss 196.57 ± 21.48ml in observation group were lower than the control group 234.16-± 25.35min,311.55 ± 26.75ml (P ＜0.01).The anal exhaust time 42.14 ±5.36h,hospitalization time 9.71 ± 1.89d ays and expenses 19317.28 ±2163.52 yuan in observation group were obvious lower than control group 45.25-± 7.83h,(12.16 ± 2.15)days,24538.78 ± 2461.71 yuan(P ＜ 0.05).The lymph node cleaning number in observation group(28.76 ± 4.11) was higher than control group (20.14 ± 5.32) (P ＜ 0.01).The complications were mainly for urinary retention,lymphocele,wound infection and vascular injury.The complication rates 17.07％ (7/41)in observation group was lower than control group 8.64％ (17/41) (x2 =4.870,P =0.027).Conclusion The laparoscopic hysterectomy combined with pelvic lymph node cleaning treatment on uterine malignant tumor have good clinical effect,have good lymph node removal effect,and low complications.It was economic and safe for clinical application.
