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目的讨论分析腹腔镜广泛切除术联合盆腔淋巴清扫术治疗子宫恶性肿瘤的临床效果。方法 98例子宫恶性肿瘤患者,随机分为试验组及参考组,各49例。参考组应用开腹广泛子宫切除术联合盆腔淋巴结清扫术进行治疗,试验组应用腹腔镜广泛切除术联合盆腔淋巴清扫术进行治疗。统计分析两组患者进行手术的具体情况以及术后并发症状况。结果试验组患者在术中出血量为(349.8±112.3)ml、手术时间为(202.6±38.4)min、胃肠道功能恢复时间为(1.6±1.4)d、住院时间为(12.5±3.7)d,均少于参考组患者的(412.3±129.4)ml、(223.4±37.8)min、(2.4±1.6)d、(17.3±4.4)d,差异有统计学意义(P<0.05)。试验组患者术后并发症发生率为8.16%,低于参考组患者的22.45%,差异有统计学意义(P<0.05)。结论腹腔镜广泛切除术联合盆腔淋巴清扫术治疗子宫恶性肿瘤具有极佳的临床效果,在一定程度上能够降低患者出现并发症的状况,值得临床推广。
Objective To analyze and analyze the clinical effect of laparoscopic radical resection combined with pelvic lymphadenectomy in the treatment of uterine malignancies. Methods A total of 98 patients with uterine malignant tumor were randomly divided into experimental group and reference group, with 49 cases in each group. The reference group was treated with open radical hysterectomy combined with pelvic lymphadenectomy. The experimental group was treated with laparoscopic radical resection combined with pelvic lymphadenectomy. Statistical analysis of the two groups of patients for the specific circumstances of surgery and postoperative complications. Results The blood loss in the experimental group was (349.8 ± 112.3) ml, the operation time was (202.6 ± 38.4) min, the function recovery time was (1.6 ± 1.4) d and the hospitalization time was (12.5 ± 3.7) days (412.3 ± 129.4) ml, (223.4 ± 37.8) min, (2.4 ± 1.6) d and (17.3 ± 4.4) d respectively in the reference group. The difference was statistically significant (P <0.05). The incidence of postoperative complications in trial group was 8.16%, which was lower than that in reference group (22.45%), the difference was statistically significant (P <0.05). Conclusions Laparoscopic extensive resection combined with pelvic lymphadenectomy for the treatment of uterine malignancies has an excellent clinical effect, to a certain extent, reduce the incidence of complications in patients, it is worth clinical promotion.