腹腔镜与开腹手术治疗宫颈癌的疗效比较

Comparison of the efficacy between laparoscopic and open surgery in the treatment of cervical cancer

目的探讨腹腔镜与开腹手术治疗宫颈癌的临床疗效。方法收集该院收治的88例宫颈癌患者,随机分为观察组和对照组,每组44例。观察组采用腹腔镜下手术,对照组采用开腹手术,比较两组患者的手术效果及术后并发症情况等。结果观察组的手术时间、术中出血量、淋巴结个数、输血例数、排气时间、尿管留置天数、住院天数、并发症等方面均优于对照组,差异均有统计学意义(P均<0.05)。结论腹腔镜治疗宫颈癌,创伤小、出血量少,术后恢复快、住院时间短、改善预后、安全可行、疗效可靠,具有临床推广价值。

Objective To evaluate the clinical efficacy between laparoscopic and open surgery in the treatment of cervical cancer. Methods Eighty-eight cases with cervical cancer were randomly divided into the observation group（ n = 44） receiving laparoscopic surgery and the control group（ n = 44） receiving open surgery. The surgical results and the postoperative complications were compared between the two groups. Results The operative time,the blood loss,the number of lympn nodes,the blood transfusion rate,the anal exhaust time,the time for indwelling catheter,the days of hospital stay and the incidence of complications in the observation group were significantly less or lower than those in the control group（ P〈0. 05）. Conclusion Laparoscopy is safe and effective in the treatment of cervical cancer.