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目的:探讨腹腔镜下广泛子宫切除及盆腔淋巴结清扫术治疗宫颈癌与腹式手术临床效果及并发症对比。方法:回顾性分析156例腹腔镜下广泛子宫切除及盆腔淋巴结清扫术治疗宫颈癌患者的临床资料,并与同期87例开腹行广泛性子宫切除及盆腔淋巴结清扫治疗宫颈癌作对照研究。结果:腹腔镜组手术平均时间(147±31.6)min稍长于对照组,但差异无统计学意义(P>0.05);术中出血量、胃肠功能恢复时间、术后住院时间明显少于对照组,差异有统计学意义(P<0.05);术中无邻近脏器损伤发生,切除的淋巴结数均无明显差异(P>0.05)。腹腔镜组152例获得随访,平均随访(12.8±6.9)月,并发症发生率为12.50%(19/152);对照组84例获得随访,平均随访(13.2±5.9)月,并发症发生率为10.71%(9/84),两组并发症发生率差异无统计学意义(P>0.05)。结论:腹腔镜下广泛全子宫切除加盆腔淋巴结清扫术治疗宫颈癌临床效果肯定,与开腹手术治愈率相近,具有创伤小、恢复快、并发症发生率低等优势。
Objective: To investigate the clinical effects and complications of cervical cancer and abdominal surgery under laparoscopic extensive hysterectomy and pelvic lymphadenectomy. Methods: The clinical data of 156 patients with cervical cancer underwent laparoscopic radical hysterectomy and pelvic lymphadenectomy were retrospectively analyzed. A total of 87 patients underwent open radical hysterectomy and pelvic lymphadenectomy for the treatment of cervical cancer. Results: The mean laparoscopic surgery time (147 ± 31.6) min was slightly longer than that of the control group, but the difference was not statistically significant (P> 0.05); the blood loss, gastrointestinal function recovery time and postoperative hospital stay were significantly less than those of the control Group, the difference was statistically significant (P <0.05); no intraoperative adjacent organ damage occurred, the number of resected lymph nodes were no significant difference (P> 0.05). In the laparoscopic group, 152 patients were followed up for an average of 12.8 ± 6.9 months with a complication rate of 12.50% (19/152). The control group of 84 patients were followed up for an average of (13.2 ± 5.9) months. The incidence of complications Was 10.71% (9/84). There was no significant difference in the incidence of complications between the two groups (P> 0.05). Conclusion: The results of laparoscopic radical hysterectomy combined with pelvic lymphadenectomy for the treatment of cervical cancer are affirmative, which are similar to those of laparotomy. It has the advantages of less trauma, faster recovery and lower complication rate.