腹腔镜下宫颈癌根治术41例临床分析

The Clinical Analysis of 41 Patients with Laparoscopic Radical Hysterectomy and Lymphadenectomy in the Treatment of Cervical Cancer

目的探讨腹腔镜下广泛性子宫全切和盆腔淋巴结清扫术在宫颈癌手术治疗中的应用价值。方法选择行宫颈癌根治术的宫颈癌80例,分为两组,研究组41例行腹腔镜下广泛性子宫全切和盆腔淋巴结清扫术,对照组39例行传统的经腹广泛性子宫全切和盆腔淋巴结清扫术。结果两组的术中出血量、淋巴结切除数及留置导尿管时间比较差异均无统计学意义(P>0.05),研究组在术后排气时间、手术并发症发生率方面均优于对照组,而平均手术时间则比对照组长(P<0.05)。结论腹腔镜下广泛性子宫全切和盆腔淋巴结清扫术用于宫颈癌手术治疗是安全可行的,且手术创伤小,术后恢复快,近期疗效好,可作为宫颈癌手术治疗选择方式之一。

Objective To investigate the application of laparoscopic radical hysterectomy and lymphadenectomy in the treatment of cervical cancer.Methods Eighty patients with cervical cancer were divided into two groups： the 41 cases in the research group underwent laparoscopic radical hysterectomy and lymphadenectomy,and the 39 cases in the control group underwent abdominal radical hysterectomy and lymphadenectomy.Results There were no significant differences in hemorrhage,average number of pelvic lymph nodes,and the time of bladder function recovery（P〉0.05）.The research group was superior to the control group in the time of bowel function recovery and the rate of operative complications,but the mean operative time was longer than that of the control group（P〈0.05）.Conclusion As a kind of minimal invasive surgery,laparoscopic radical hysterectomy and lymphadenectomy in the treatment of cervical cancer is safe,feasible,and better short-term effect.It is one of the choices in the treatment of cervical cancer.