国际妇产科学杂志 ›› 2016, Vol. 43 ›› Issue (1): 58-62.

• 综述 • 上一篇    下一篇

妇科恶性肿瘤腹腔镜手术学习曲线的研究进展

贺红英,阳志军,卢迎新,李力   

  1. 545000 广西壮族自治区柳州市,广西医科大学附属第四医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-02-15 发布日期:2016-02-15
  • 通讯作者: 李力

Research Progress of Laparoscopic Learning Curve in Gynecological Malignant Tumor

HE Hong-ying,YANG Zhi-jun,LU Ying-xin,LI Li   

  1. Department of Obstetrics and Gynecology,The Fourth Affiliated Hospital of Guangxi Medical University,Liuzhou 545000,Guangxi Zhuang Autonomous Region,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-02-15 Online:2016-02-15
  • Contact: LI Li

摘要: 妇科恶性肿瘤是威胁女性生命健康的主要杀手。目前,手术治疗仍是大多数妇科恶性肿瘤的主要治疗方式。随着显微外科技术的发展,腹腔镜手术应用于妇科恶性肿瘤的治疗已得到推崇及广泛开展。学习曲线又称经验曲线,是指在一定时间内获得知识或技能的速率,广泛用于研究外科手术技能的学习规律。学习曲线的主要评判标准有手术时间、术中出血量、中转开腹率、淋巴结清扫数、术中及术后并发症和术后住院时间等。目前国际上子宫内膜癌、宫颈癌、卵巢癌、阴道癌、外阴癌等妇科恶性肿瘤的腹腔镜手术技术已日趋成熟,但所报道的各妇科恶性肿瘤的腹腔镜手术学习曲线不尽相同,使用的评判标准、影响因素、现存缺陷等问题仍缺乏统一论述。就妇科恶性肿瘤的腹腔镜手术学习曲线的研究进展进行综述。

关键词: 生殖器肿瘤, 女(雌)性, 腹腔镜检查, 参考标准

Abstract: Gynecologic malignant tumor has been the main killer threatening to women′s life. Surgery is a main treatment for most of the gynecology malignant tumor. With the development of minimally invasive surgical techniques,the laparoscopic surgery in gynecological malignant tumor has been admired and promoted. Learning curve, also called as experience curve, refers to get the rate of knowledge or skills in a certain period of time. It is widely used in the research on the rules of surgical skills acquisition. The main evaluation standard of learning curve includes operation time, intraoperative blood loss, conversion rate, the number of lymph node cleaning, transfer laparotomy and intraoperative and postoperative complications, postoperative hospital stay, and so on. Currently the laparoscopic surgery technology of gynecologic malignant tumor, such as endometrial cancer, cervical cancer, ovarian cancer, vaginal cancer, vulva cancer, has become increasingly mature, but the learning curve of various gynecological malignant tumor laparoscopic surgery reported is not the same. At present,there is not an international comprehensive description with the evaluation standard,the affecting factors and the existing defects of the learning curve in laparoscopic surgery. This article reviewed and revealed the progress of laparoscopic learning curve in gynecological malignant tumor.

Key words: Genital neoplasms, female, Laparoscopy, Reference standards