两种途径广泛性子宫切除术对比分析

Modified Radical Hysterectomy and Radical Hysterectomy:A Retrospective Study

目的回顾性分析改良广泛性子宫切除术和传统的广泛性子宫切除术对宫颈癌患者的治疗效果。方法选择2008年2月～2010年3月间在安庆市立医院接受手术治疗的患者共42例,其中接受两种手术方式的患者均为21例,接受改良广泛性子宫切除术的患者为Ⅰa～Ⅱb期宫颈癌;接受传统广泛性子宫切除术的患者为Ⅰb1～Ⅱb期宫颈癌。比较上述两种方式手术时间、术后住院时间、术中出血量和围手术期并发症的发生情况。结果平均手术时间、术中出血量改良组和传统组分别为(304±11)min、(935±75)mL和(357±1)min、(1331±494)mL,二者分别比较,差异均有统计学意义(P<0.05)。术后平均导尿管留置时间、术后住院时间、术后尿潴留、输尿管损伤和淋巴囊肿的发生率,两组分别比较,差异均无统计学意义(P>0.05)。结论改良广泛性子宫切除术安全可行,能有效缩短手术时间及减少术中出血量。

Objective To compare modified radical hysterectomy （MRH） with radical hysterectomy （RH） for cervical cancer patients in terms of perioperative complications. Methods Fifty two consecutive patients with cervical cancer underwent RH （n=21） or MRH （n=21） from February 2008 to March 2010 at Anqing Hospital. The operative time, blood loss during the operation and the perioperative complications between two methods were assessed. Results Compared with patients received RH,patients underwent MRH had shorter operative time （304 ± 11 vs.357 ± lmin,P〈0.05） and less blood loss during the operation （935 ± 75 vs. 1331± 494mL,P〈0.05）. However, there were no significant difference in terms of the perioperative complications （P〉0.05） and hospital stay （P〉0.05）. Conclusion MRH is safe and feasible surgical management for cervical cancer patients,which would reduced the operative time and blood loss during the operation.