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目的观察腹腔镜宫颈癌根治术治疗早期宫颈癌的临床疗效。方法以67例早期宫颈癌患者为研究对象,将其随机分为腹腔镜组34例和开腹组33例,所有患者均行全子宫切除术及盆腔淋巴结清扫术。比较两组患者的手术时间、术中出血量、盆腔淋巴结清扫术、术后肛门排气时间、术后住院时间和并发症等情况。结果腹腔镜组术中出血量、术中盆腔淋巴结清扫术、术后肛门排气时间、术后住院时间及并发症发生率等指标均明显优于开腹组,两组比较差异均有统计学意义(均P<0.05);腹腔镜组手术时间明显长于开腹组,差异具有统计学意义(P<0.05)。结论腹腔镜下子宫颈癌根治术能完全达到开腹手术的要求,手术创伤小、恢复快、并发症少,临床疗效明显优于开腹手术,是治疗早期宫颈癌的理想术式。
Objective To observe the clinical effect of laparoscopic radical hysterectomy for early cervical cancer. Methods Sixty-seven patients with early stage cervical cancer were enrolled in this study. They were randomly divided into laparoscopic group (34 cases) and open group (33 cases). All patients underwent hysterectomy and pelvic lymphadenectomy. The operation time, intraoperative blood loss, pelvic lymph node dissection, postoperative anal exhaust time, postoperative hospital stay and complications were compared between the two groups. Results In the laparoscopic group, bleeding volume, intraoperative pelvic lymphadenectomy, postoperative anal exhaust time, postoperative hospital stay and the incidence of complications were significantly better than the open group, the difference was statistically significant between the two groups (P <0.05). The operation time of laparoscopic group was significantly longer than that of laparotomy group (P <0.05). Conclusions Laparoscopic radical mastectomy can completely meet the requirements of open surgery. It has the advantages of small operative trauma, quick recovery, few complications, and obvious clinical curative effect over laparotomy. It is an ideal method for the treatment of early cervical cancer.