摘要
目的:探讨宫颈癌术后不放置腹腔引流对临床疗效的影响。方法:选择2005～2006年105例因宫颈癌行广泛子宫切除并盆腔淋巴结清扫术患者,分为A组(不放置引流50例)和B组(盆腔双管引流55例),比较两组手术时间、术后肛门排气时间、抗生素应用时间、发热天数;术后1个月盆腔彩超,比较术后恢复和并发症的差异。结果:手术时间A组少于B组(P<0·001);A组淋巴潴留囊肿3例,B组有2例,无差异;A组术后体温、肠蠕动恢复正常时间显著优于B组(P<0·05);A组术后并发症较B组亦明显减少(P<0·05);B组还存在拔管时患者恐惧、大网膜被引流管带出体外等并发症。结论:不置引流具有术后恢复快、并发症少、伤口疼痛轻等优点,值得临床推广应用。
Objective： To study the clinic effect of no postoperative intra - abdominal drainage for cervical cancer patients. Methods： All 105 cases diagnosed as cervical cancer in this hospital from May 2005 to August 2006 treated by radical hysterectomy and pelvic lymph node dissection were randomly divided into two groups： 55 cases with postoperative intra-abdominal drainage in group A and 50 cases without postoperative intra - abdominal drainage in group B, to observe the operative duration and postoperative restoration. Results： The operative duration in group A was shorter than that in group B （P 〈 0. 001 ）, there was 3 cases lymph cystis retentionis and 2 ones in group A and B respectively （P 〉 0. 05 ） . The temperature and enterokinesia postoperative restoration in group A were better than those in group B （ P 〈 0. 05 ） . The postoperative complications in group A were decreased than those in group B （ P 〈 0. 05 ） . There was fear of extubating and greater omentum drawn by drainage tube in group B. Conclusion： No postoperative intra - abdominal drainage has advantages, including quick postoperative restoration, less complications and light wound pain, which is worth generalization.
出处
《中国妇幼保健》
CAS
北大核心
2007年第13期1839-1840,共2页
Maternal and Child Health Care of China
关键词
宫颈癌
子宫颈癌根治术
淋巴囊肿
腹腔引流
Cervical cancer
Radical hysterectomy
Lymphatic cyst
Intra-abdominal drainage
