腹腔镜下治疗早期子宫颈癌的近期临床效果

The Short-term Clinical Effect of Laparoscopy in the Treatment of Early Cervical Cancer

目的研究分析腹腔镜下保留生育功能宫颈癌根治术对早期宫颈癌的治疗效果。方法 2012年11月—2013年11月对我院的60例早期宫颈癌患者开展研究分析,全部患者共分为了对照组和观察组,对照组使用常规开腹手术,观察组使用腹腔镜保留生育能力宫颈癌根治术,对比分析两组的临床治疗效果。结果对照组患者接受手术的平均时间是(197±11)min,平均肛门排气时间(2.0±0.3)d,平均住院时间(23.3±4.2)d,平均恢复自主排尿时间(12.4±0.6)d,观察组分别是(165±12)min,(1.5±0.5)d,(17.6±3.4)d,(10.5±1.5)d,两组差异有统计学意义(P<0.05)。观察组没有复发情况,有5例1年后怀孕。结论早期子宫颈癌患者接受腹腔镜手术治疗能够保留患者的生育功能,缩短手术时间,促进患者的恢复,减少住院时间,临床中的效果突出。

Objective To study and analyze the therapeutic effect of laparoscopic radical resection of cervical cancer with retained fertility in the treatment of early cervical cancer. Methods From November 2012 to November 2013, 60 cases of early cervical cancer in our hospital were analyzed. All the patients were divided into the control group and the observation group. The control group was treated with conventional laparotomy, while the observation group was treated with laparoscopic radical prostatectomy. The clinical therapeutic effects of the two groups were compared and analyzed. Results The average time of operation in the control group was（197 ± 11） min, the average anus exhaust time（2.0 ± 0.3） d, the average hospitalization time was（23.3 ± 4.2） d, and the average recovery time of independent urination was（12.4 ± 0.6） d. The observation group was（165 ± 12） min,（1.5 ± 0.5） d,（17.6 ± 3.4） d,（10.5 ± 1.5） d, the difference between the two groups was statistically significant（P〈 0.05）. There was no recurrence in the observation group, and 5 cases were pregnant 1 years later. Conclusion The early stage of cervical cancer patients undergoing laparoscopic surgery can retain the fertility function of the patients, shorten the operation time, promote the recovery of patients and reduce the hospitalization time. The clinical effect is outstanding.