腹腔镜全子宫全切术结合全盆腔淋巴结清扫治疗宫颈癌近远期疗效

Laparoscopic total hysterectomy combined with total pelvic lymph node dissection in the treatment of cervical cancer

目的:探讨腹腔镜全子宫全切术结合全盆腔淋巴结清扫治疗宫颈癌近远期疗效。方法:109例宫颈癌患者按照患者入院顺序分为对照组(50例)与观察组(59例),观察组实施腹腔镜全子宫全切术+全盆腔淋巴结清扫治疗,对照组采用经腹广泛子宫切除术+盆腔淋巴结清扫治疗,观察两组治疗效果。结果:观察组淋巴结切除量高于对照组(P<0.05),手术失血量、手术耗时、术后持续发热时间、膀胱功能恢复时间均低于对照组(P<0.05);观察组的并发症发生率为3.4%,低于对照组的14.0%(P<0.05);观察组3年存活率为89.8%,高于对照组的74.0%(P<0.05)。结论:在宫颈癌治疗中采用腹腔镜全子宫全切术+全盆腔淋巴结清扫,能够提高手术效果,降低并发症发生率并提升患者的远期存活率。

Objective： To investigate the long-term efficacy of Laparoscopic total hysterectomy combined with total pelvic lymph node dissection in the treatment of cervical cancer. Methods： 109 cases of cervical cancer were divided into the control group（ 50 cases） and the observation group（ 59 cases） according to the patient＇s admission order. The observation group received laparoscopic total hysterectomy combined with total pelvic lymph node dissection. The control group received abdominal extensive hysterectomy combined with total pelvic lymph node dissection. The therapeutic effect of two groups was observed. Results： The average lymph node excision volume in the observation group was higher than that in the control group（ P〈0. 05）,and the operative blood loss,operative time,postoperative fever and bladder function recovery time were all lower than those in the control group（ P〈0. 05）. The incidence of complications in the observation group was 3. 4 %,which was lower than that of the control group（ 14. 0 %）（ P〈0. 05）. The 2 year survival rate was 89. 8 % in the observation group and 74. 0 % in the control group,and the difference was statistically significant（ P〈0. 05）. Conclusion： Laparoscopic total hysterectomy combined with total pelvic lymph node dissection in the treatment of cervical cancer can improve the effect of operation,reduce the incidence of complications and improve the long-term survival rate of the patients.