腹腔镜根治性子宫切除术与开放手术治疗老年早期宫颈癌患者的疗效研究

Comparison laparoscopic radical hysterectomy with open surgery for early stage cervical cancer in elderly patients

目的 比较腹腔镜根治性子宫切除术与开放手术治疗老年早期宫颈癌患者的疗效.方法 对195例行手术治疗的老年早期宫颈癌患者进行回顾性研究,根据手术方式分为腹腔镜组（66例）和开放组（129例）,比较两组手术时间、术中出血量、切除淋巴结数目、肠道功能恢复时间、术后住院时间及并发症.结果 腹腔镜组手术时间、术中出血量、肠道功能恢复时间及术后住院时间均明显少于开放组[（237.6±46.9）min比（259.3±76.7） min、（214.7±104.8） ml比（283.4±137.2）ml、（1.9±1.2）d比（2.8±1.5）d、（4.1±3.5）d比（6.7±1.4）d],差异均有统计学意义（P＜0.05或＜0.01）,两组切除淋巴结数目和并发症发生情况比较差异无统计学意义（P＞0.05）.结论 腹腔镜根治性子宫切除术对老年早期宫颈癌患者安全可行.

Objective To compare the efficacy of laparoscopic radical hysterectomy and open surgery with early stage cervical cancer in elderly patients.Methods Performed a retrospective study of 195 cases underwent surgical treatment of early stage cervical cancer in elderly patients.According to different approach,the patients were divided into laparoscopic group （66 cases） and open group （129 cases）.The operation time,intraoperative blood loss,number of resected lymph nodes,bowel function recovery time,postoperative hospital stay and postoperative complications was compared between two groups.Results The operation time,intraoperative blood loss,bowel function recovery time,postoperative hospital stay in laparoscopic group were significantly shorter than those in open group [（237.6 ±46.9） min vs.（259.3 ± 76.7） min,（214.7 ± 104.8） ml vs.（283.4 ± 137.2） ml,（1.9 ± 1.2） d vs.（2.8 ± 1.5） d,（4.1 ± 3.5） d vs.（6.7 ± 1.4） d,P 〈 0.05 or 〈 0.01].There was no significant difference in number of resected lymph nodes and postoperative complications between laparoscopic group and open group （P 〉 0.05）.Conclusion Laparoscopic radical hysterectomy is both safe and effective in elderly patients with early stage cervical cancer.