腹腔镜手术治疗宫颈癌、子宫内膜癌的疗效分析

Analysis of Curative Effect of Laparoscopic Surgery in Treatment of Cervical Cancer and Endometrial Cancer

目的探究宫颈癌、子宫内膜癌患者通过腹腔镜手术治疗后取得的临床成效。方法选取该院收治的宫颈癌、子宫内膜癌患者80例,且均在2014年1月—2016年6月入院,依随机分组标准分为观察组(40例)和对照组(40例)。对照组和观察组患者治疗方法分别为开腹手术治疗和腹腔镜手术治疗。从平均手术时间、术中出血量及住院治疗时间,不良反应发生情况,生存质量状况五方面入手,针对相关内容进行分析。结果在平均手术时间、术中出血量及住院治疗时间方面,观察组的(58.05±22.57)min、(40.5±13.1)m L及(9.3±3.6)d均明显低于对照组的(68.69±19.85)min、(138.4±26.7)ml及(13.1±3.3)d,差异有统计学意义(P<0.05);针对不良反应发生情况,观察组发生率(7.5%)显著低于对照组发生率(25.0%),两组之间差异有统计学意义(P<0.05);在生存质量方面,观察组身体健康、心理健康、社会关系及环境因素方面的得分分别为(86.1±10.2)分、(80.1±9.2)分、(87.3±9.7)分、(88.5±11.3)分明显高于对照组的(63.2±9.7)分、(52.3±12.6)分、(70.8±10.1)分、(73.5±11.4)分,差异有统计学意义(P<0.05)。结论宫颈癌、子宫内膜癌患者通过腹腔镜手术治疗后取得的临床成效显著,在减低手术时间、术中出血量及住院治疗时间的同时,使不良反应发生率明显降低,且患者生存质量显著改善,存在一定推广价值。

Objective To study the clinical curative effect of laparoscopic surgery in treatment of cervical cancer and endometrial cancer. Methods 80 cases of patients with cervical cancer and endometrial cancer admitted and treated in our hospital from January 2014 to June 2016 were selected and randomly divided into two groups with 40 cases in each, the control group and the observation group were treated with laparotomy surgery and laparoscopic surgery, and the related contents of average operation time, intraoperative bleeding amount, length of stay, occurrence of adverse reactions and survival quality were analyzed. Results The average operation time and intraoperative bleeding amount and length of stay in the observation group were obviously lower than those in the control group [(58.05±22.57)min,(40.5±13.1)m L,(9.3±3.6)d vs(68.69±19.85)min,(138.4±26.7)m L,(13.1±3.3)d](P<0.05), and the incidence rate of adverse reactions in the observation group was obviously lower than that in the control group(7.5% vs 25.0%), and the difference was statistically significant(P <0.05), and the physical health, mental health, social relationship and environmental scores were obviously higher than those in the control group [(86.1 ±10.2)scores,(80.1 ±9.2)scores,(87.3 ±9.7)scores,(88.5±11.3)scores vs(63.2±9.7)scores,(52.3±12.6)scores,(70.8±10.1)scores,(73.5±11.4)scores](P<0.05). Conclusion The clinical effect of laparoscopic surgery in treatment of cervical cancer and endometrial cancer is obvious, which can reduce the operation time, intraoperative bleeding amount and length of stay, obviously reduce the incidence rate of adverse reactions and obviously improve the survival quality, and it is of a certain promotion value.