腹腔镜下广泛子宫切除加盆腔淋巴结清扫术与开腹手术的比较

The comparison between the laparoscope operation and laparotomy operation on radical hysterectomy and pelvic lymphadenectomy

目的通过比较腹腔镜与开腹广泛子宫切除及盆腔淋巴结清扫,探讨腹腔镜技术在妇科宫颈癌根治术中的可行性及应用价值。方法将2010年6月至2012年10月,于本院就诊的128例宫颈癌患者,在自愿原则下分为腹腔镜组和开腹组,探讨手术获取阴道长度及宫旁长度、淋巴结数、手术时间、术中出血量、肛门排气时间、留置尿管时间、盆腔引流液量、体温恢复正常时间、术后住院时间、术中及术后并发症、术后随访等方面的数据差异。结果腹腔镜组与开腹组在数据差异上具有统计学意义(P<0.05)。结论腹腔镜广泛子宫切除及盆腔淋巴结清扫术在治疗早期宫颈癌的疗效上,与开腹手术相当,可作为早期子宫颈癌手术治疗的选择术式之一,值得推广。

Objective By comparing laparosenpe operation with laparotomy operation on radical hysterectomy and pelvic lymphadeneetomy to discuss the effectiveness and valuable of the laparoseope technologic in radical resection of cervical cancer. Methods From June 2010 to October 2012, 128 women with cervical cancer were divide into two groups （laparoseope and laparotomy） voluntarily. The date of the amount of fluid drainage intraoperative, the time of the temperature returning to normal, the hospitalization time postoperative, eomplieation intraoperative and postoperative and the follow-up postoperative were evaluated. Results The difference was statistically significant between the groups （P〈0.05）. Conclusion The laparoseope widely hysterectomy and pelvic lymphadeneetomy that can be one of the methods for curing early eervieal cancer, it has the same curative effect with the laparotomy operation in treating the early cervical cancer and is worthy of being promoted.