腹腔镜微创手术治疗宫颈癌患者的临床应用效果分析

Analysis of clinical application effect of laparoscopic minimally invasive surgery for cervical cancer

目的分析腹腔镜微创手术治疗宫颈癌患者的临床应用效果。方法选取2015年4月～2017年12月本院收治的112例宫颈癌患者,将其依照数字表法分为对照组和治疗组两组,每组56例,对照组予以开腹手术治疗,治疗组予以腹腔镜下广泛子宫切除术+盆腔淋巴清扫术治疗,对比两组手术情况及术后并发症发生率。结果与对照组相比,治疗组的手术时间、术后排气时间、住院时间等相关指标缩短明显,其术中出血量相比于对照组明显减少,切除淋巴结个数相比于对照组则明显增多(P<0.05);统计处理两组患者的术后并发症,对照组明显高于治疗组,两组之间比较差异存在统计学意义(P<0.05)。结论腹腔镜下广泛子宫切除术与盆腔淋巴结清扫术联合治疗宫颈癌,近期效果良好,创伤小,恢复快,并发症少,安全性高,具有临床推广和使用意义。

Objective To analyze the clinical effect of laparoscopic minimally invasive surgery for cervical cancer. Methods Atotal of 112 patients with cervical cancer admitted to our hospital from April 2015 to December 2017 were selected and divided into control group and treatment group according to the digital table. 56 patients in each group. The control group was treated with open surgery. The treatment group was treated with laparoscopic hysterectomy ＋ pelvic lymph node dissection. The incidence of postoperative complications was compared between the two groups. Results Compared with the control group, the relevant parameters such as the operation time, postoperative venting time, and hospital stay were significantly shortened in the treatment group. The intraoperative blood loss was significantly reduced compared with the control group, and the num- ber of resected lymph nodes was significantly increased comparable to the control group （P〈0.05）; statistical treatment of postoperative complications in both groups, the control group was significantly higher than the treatment group, there was a significant difference between the two groups （P〈0.05）. Conclusion Laparoscopic radical hysterectomy combined with pelvic lymphadenectomy for the treatment of cervical cancer has good short-term results, less trauma, quicker recovery, fewer complications, high safety, and has clinical application and significance.