腹腔镜根治术治疗早期宫颈癌的近期临床疗效

Short-term Clinical Curative Effect of Laparoscopic Radical Operation in Treatment of Early Cervical Cancer

目的对腹腔镜根治术治疗早期宫颈癌的近期临床疗效进行分析和探讨。方法方便选取该院2012年3月—2014年3月收治的120例早期宫颈癌患者,采用随机法将患者平均分为对照组和观察组,对照组患者接受传统开腹手术的治疗,观察组患者接受腹腔镜根治术的治疗。记录两组患者手术期间各项临床数据,比较两组患者术后并发症发生情况、对比近期疗效。结果观察组患者手术时间、术中出血量等术中情况,以及首次排气时间、尿管留置时间等术后情况均显著优于对照组,比较差异具有统计学意义(P<0.05);观察组患者手术并发症发生率(13.33%)显著低于对照组(31.67%),差异具有统计学意义(P<0.05)。结论腹腔镜根治术具有手术创口小、患者术后恢复快、并发症发生率低等优点,对于早期宫颈癌的治疗效果显著,值得临床进一步推广和使用。

Objective To analyze anti discuss the short-term clinical curative effect of laparoscopic radical operation in treatment of early cervical cancer. Methods 120 cases of patients with early cervical cancer admitted and treated in our hospital from March 2012 to March 2014 were selected and randomly divided into two groups, the control group were treat- ed with traditional laparotomy, the observation group were treated with laparoscopic radical operation, the various clinical data of the two groups were recorded, the occurrence of postoperative complications of the two groups was compared and the short-term curative effects were compared. Results The postoperative conditions such as operation time, intraoperative blood loss, first exhaust time and indwelling time of urethral catheter in the observation group were obviously better than those in the control group, and the differences were statistically significant by comparison （P〈0.05）, the incidence rate of operative complications in the observation group was obviously lower than that in the control group（13.33% vs 31.67%）, and the difference was statistically significant （P〈0.05）. Conclusion The laparoscopic radical operation in treatment of early cervical cancer has a good effect with the advantages of small operation wound, quick postoperative recovery, low incidence rate of complications, which is worth further promotion and application in clinic.