腹腔镜辅助阴式广泛子宫切除术与经腹宫颈癌根治术63例临床观察

Analysis of clinical application of laparoscopic-assisted vaginal radical hysterectomy and pelvic lymphadenectomy in 63 patients with early-stage cervical cancer

目的 探讨腹腔镜辅助下阴式广泛子宫切除加盆腔淋巴结清扫术治疗早期宫颈癌的可行性、安全性.方法 回顾分析63例腹腔镜辅助下阴式广泛子宫切除加盆腔淋巴结清扫术患者（腔镜组）,并随机抽取63例同期开腹手术（开腹组）,对比分析两组患者手术时间、术中出血量、术后肛门排气时间、平均住院日、手术并发症发生情况、术后复发等情况.结果 两组手术时间、术中出血量、肛门排气时间、平均住院日比较,差异均有统计学意义（P＜0.05）,两组手术并发症及术后复发率差异无统计学意义（P＞0.05）.结论 腹腔镜辅助下阴式广泛子宫切除加盆腔淋巴结清扫术是早期宫颈癌手术治疗的有效方法.

Objective To investigate the clinical effect and safety of laparoscopic-assisted vaginal radical hysterectomy （LAVRH） and pelvic lymphadenectomy in early-stage cervical cancer.Methods The clinical data of 126 patients with cervical cancer were retrospectively analyzed.63 cases received LAVRH surgery were considered as study group,and 63 cases received laparotomy were selected as control group.The operation time,intraoperative blood loss,intestinal function recovery time,the average hospitalization days,surgical complications,recurrence incidence,etc were compared between the two groups.Results The operation time,intraoperative blood loss,intestinal function recovery time,the average hospitalization days had significantly statistical differences between two groups（P ＜0.05）.The surgical complications and recurrence rate had no significantly statistical differences between two groups （P ＞0.05）.Conclusion LAVRH and pelvic lymphadenectomy has the advantages of minimally invasive,less blood loss,faster recovery,etc.It is an effective method for the treatment of early-stage cervical cancer.