腹腔镜手术在早期子宫颈癌患者中的临床应用

Clinical application of laparoscopic surgery in the early stage of cervical cancer

目的探讨腹腔镜手术在早期子宫颈癌患者中的临床应用效果。方法回顾性分析2012年6月至2015年12月收治的64例早期子宫颈癌患者的临床资料。将其随机分为两组,治疗组32例行腹腔镜手术,对照组32例行开腹手术。结果治疗组总有效率为90.63%,与对照组的78.13%比较差异未见统计学意义(P>0.05);治疗组术中出血量为(153.42±28.18)ml,肛门排气时间为(38.36±6.19)h,下床活动时间为(52.06±8.52)h,住院时间为(9.38±1.72)d,均优于对照组,差异均有统计学意义(P<0.05);治疗组尿潴留发生率、盆腔感染发生率、切口感染发生率均低于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜手术在早期子宫颈癌患者中的临床应用效果显著,值得临床推广应用。

Objective To investigate the clinical efficacy of laparoscopic surgery in the early stage of cervical cancer. Methods The clinical data of 64 cases of early cervical cancer from June 2012 to December 2015 were reviewed. Patients were randomly divider into two groups,32 cases in treatment group were treated by laparoscopic surgery,32 cases in control group were treated by laparotomy. Results The total effective rate of the treatment group was 90. 63% ,compared with 78. 13% in the control group,the difference was not statistically significant（P 〉 0. 05）. The amount of bleeding[（153. 42 ± 28. 18）ml],the a-nal exhaust time[（38. 36 ± 6. 19）h],the bed activity time[（52. 06 ± 8. 52）h]and the length of stay[（9. 38 ± 1. 72）d]of the treatment group were better than those of the control group（P 〈 0. 05）. The incidence of urinary retention,pelvic infection and incision infection in the treatment group were lower than those in the control group（P 〈 0. 05）. Conclusion The clinical appli-cation of laparoscopic surgery in the early stage of cervical cancer patients is significant.