Feasibility study of type Ⅰ hysterectomy in stage Ⅰ A cervical cancer / 肿瘤研究与临床
Cancer Research and Clinic
; (6): 659-662, 2013.
Article
in Zh
| WPRIM
| ID: wpr-442249
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WPRO
ABSTRACT
Objective To compare the efficacy and complications of the two surgical methods (between type Ⅰ hysterectomy and type Ⅱ hysterectomy),and to explore the feasibility of type Ⅰ hysterectomy in stage ⅠA cervical cancer.Methods The study group,92 cases(48 cases of stage ⅠA1,44 cases of stage ⅠA2) were performed with type Ⅰ hysterectomy plus selective pelvic lymph node dissection;the control group,93 cases (49 cases of stage ⅠA1,44 cases of ⅠA2) were performed with type Ⅱ hysterectomy plus selective pelvic lymph node dissection.Results The survival rate of 5 years and 10 years in study group were 100 % (92/92),100 % (74/74) and that in control group were 100 % (93/93),100 %(66/66),respectively.There were no signicant difference between the two group (both P > 0.05).When compared with the control group,the urinary tract infection of the study group was significantly reduced (0 versus 13.99 %,P < 0.05).Moreover,there were a shorter surgical duration [(96.14±17.20) min vs (116.82±16.30) min].The hemorrhage [(117.35±39.61) ml] and blood transfusion (0 ml) in study group was less common than those in control group [(201.74±46.25) ml,(82.07±16.32) ml] (all P < 0.01).Conclusion There are no difference of 5-year and l0-year survival rate in stage ⅠA patients with type Ⅰ or type Ⅱ hysterectomy,however,the rate of the postoperative urinary tract infection in the former is lower than that in the latter,and also there are a shorter surgical duration,less hemorrhage and reduced blood transfusion requirements in study group.Therefore,type Ⅰ hysterectomy can be effective and applicable for the patients of stage ⅠA cervical cancer.
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Language:
Zh
Journal:
Cancer Research and Clinic
Year:
2013
Type:
Article