腹腔镜子宫广泛切除术治疗子宫颈癌的安全性和临床疗效观察

The Safety and Clinical Efficacy of Laparoscopic Radical Hysterectomy for Cervical Cancer

目的探究腹腔镜子宫广泛切除术治疗子宫颈癌的安全性及临床疗效。方法将在我院于2012年1月—2015年1月接受治疗的86例子宫颈癌患者纳入研究,以数学领域盲选法为依据将患者分成2组,各43例;对照组患者给予开腹子宫广泛切除术治疗,观察组患者给予腹腔镜子宫广泛切除术治疗,对比两组患者的手术指标及安全性指标。结果在手术时间、术中出血量及肛门排气时间指标上,观察组与对照组相比明显更低,两组数据差异有统计学意义(P<0.05);在术中并发症发生率、术后并发症发生率、1年生存率及2年生存率指标上,观察组与对照组相比明显更低,两组数据差异有统计学意义(P<0.05)。结论子宫颈癌患者应用腹腔镜子宫广泛切除术治疗的效果良好,能缩短手术时间及肛门排气时间减少术中出血量,降低并发症发生率,提高生存率。

Objective To explore the safety and clinical efficacy of laparoscopic radical hysterectomy for cervical cancer. Methods 86 cases of cervical cancer in our hospital from January 2012 to January 2015 were divided into two groups through mathematics blind method, 43 cases in each group; the control group was treated with radical laparotomy, the patients in the observation group were treated with laparoscopic radical hysterectomy, index and the safety of the two groups were compared. Results The operation time, bleeding volume, anal exhaust time in the observation group were significantly lower compared with the control group, there were signifcant differences between the two groups （P 〈 0.05）; the incidence of intraoperative complications, postoperative complications, survival rate of 1 year and 2 years in observation were signifcantly lower compared with the control group, there were signifcant differences between the two groups （P 〈 0.05）. Conclusion Laparoscopic radical hysterectomy is effective in the treatment of cervical cancer. It can shorten the operation time and anal exhaust time, reduce the amount of bleeding during operation, reduce the incidence of complications and improve the survival rate.