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[目的]探讨经腹腔镜与经腹两种途径实施广泛性子宫切除盆腔淋巴结清扫术的安全性与有效性。[方法]对比分析83例经腹腔镜广泛性子宫切除盆腔淋巴结清扫术和同期374例经腹手术的患者临床资料。[结果]经腹腔镜组中转开腹率为1.20%。经腹腔镜组与经腹手术组比较平均手术时间长(293.43±77.53minvs200.33±42.79min,P<0.001),平均术中失血量少(213.01±120.33mlvs311.43±179.23ml,P<0.001),清扫淋巴结的个数无统计学差异。经腹腔镜较经腹手术组术后排气时间、术后住院时间明显短(P<0.05)。[结论]经腹腔镜实施广泛性子宫切除盆腔淋巴结清扫术安全,可以有效减少患者的术后恢复时间。
[Objective] To investigate the safety and effectiveness of extensive hysterectomy pelvic lymph node dissection by laparoscopy and transabdominal approach. [Method] The clinical data of 83 patients who underwent laparoscopic radical hysterectomy for pelvic lymphadenectomy and 374 patients undergoing abdominal surgery during the same period were compared and analyzed. [Results] Laparoscopic group laparotomy rate was 1.20%. The mean operation time was longer in the laparoscopic group and the abdomen group (293.43 ± 77.53min vs 200.33 ± 42.79min, P <0.001), and the average intraoperative blood loss was less (213.01 ± 120.33ml vs 311.43 ± 179.23ml, P <0.001) ), No significant difference in the number of lymph nodes dissection. Laparoscopic peritoneal surgery group after the exhaust time, postoperative hospital stay was significantly shorter (P <0.05). [Conclusion] Extensive hysterectomy pelvic lymphadenectomy by laparoscopy is safe, which can effectively reduce the postoperative recovery time of patients.