1269例早期宫颈癌患者手术途径及卫生经济学初步分析

Surgical approaches and health economics of 1269 cases of early-stage cervical cancer

目的分析腹腔镜宫颈癌根治术和开腹宫颈癌根治术的卫生经济学指标。方法对1269例早期宫颈癌患者进行分析。根据手术方式分为腹腔镜组和开腹手术组。分析两组患者的年龄、体质量指数、临床分期、住院天数及费用等。结果腹腔镜手术方式在治疗早期宫颈癌所占比例逐年增多。两组的总住院费用差异无统计学意义(P﹥0.05),腹腔镜组较开腹手术组总住院天数及术后住院天数明显减少(P﹤0.01),护理费、药费和组麻醉也均明显减少(P﹤0.01)。结论腹腔镜手术在治疗早期宫颈癌方面较开腹手术有更好的卫生经济效益,值得推广。

Objective To compare the cost effectiveness between laparoscopy and laparotomy as radical hysterecto-my for patients with early-stage cervical cancer. Method 1269 patients with early-stage cervical cancer were included in the study, and all patients were stratified as laparoscopy group or laparotomy group according to respective surgery admin-istered. The age, body mass index, clinical stage, hospital stay and cost of the two groups were compared. Result Lapa-roscopy is taking the lead in treating early-stage cervical cancer. The total costs were comparable in both groups （P〉0.05）, while shorter overall and postoperative hospital stay were observed in laparoscopy group than those of laparotomy group （P〈0.01）, besides the costs regarding care, medicine, and anesthesia in laparoscopy group were also lower than those in the laparotomy group. Conclusion The application of laparoscopy in early-stage cervical cancer is better than laparotomy in regard of medical economics, and is clinically applicable.