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目的探讨阴式广泛子宫切除术治疗宫颈癌的可行性。方法选择Ⅰb1-Ⅱa期的宫颈癌患者38例分两组。研究组19例行阴式广泛子宫切除加盆腔淋巴结清扫术,对照组19例行经典的广泛子宫切除术。结果两组出血量比较,差异无统计学意义(P>0.05);两组手术时间、肛门排气时间比较,差异有统计学意义(P<0.01)。结论阴式广泛子宫切除术治疗早期宫颈癌安全可行,且术后恢复快、无瘢痕、痛苦少,是妇科肿瘤微创手术的发展方向。
Objective To investigate the feasibility of vaginal extensive hysterectomy in the treatment of cervical cancer. Methods Select Ⅰb1-Ⅱ a cervical cancer patients 38 cases divided into two groups. In the study group, 19 patients underwent extensive radical hysterectomy plus pelvic lymphadenectomy, while 19 patients in the control group underwent extensive classic hysterectomy. Results There was no significant difference in bleeding volume between the two groups (P> 0.05). There was significant difference between the two groups in the operation time and anal exhaust time (P <0.01). Conclusion Vaginal hysterectomy for the treatment of early cervical cancer is safe and feasible, and the rapid recovery after surgery, no scars, less pain, is the development direction of minimally invasive surgery for gynecological tumors.