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腹腔镜下宫颈癌根治术与开腹手术治疗早期宫颈癌的临床疗效对比 被引量:4

Clinical Effect of Laparoscopic Radical Hysterectomy and Laparotomy on Treatment of Early Cervical Cancer
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摘要 目的对比分析腹腔镜下宫颈癌根治术与开腹手术治疗早期宫颈癌的临床疗效。方法回顾性分析本院2016年1月—2017年1月诊治的70例早期宫颈癌患者临床资料,其中对照组36例患者接受传统开腹手术治疗,研究组36例患者接受腹腔镜手术治疗。比较两组患者术后临床指标、并发症发生情况、生活质量评分。结果研究组患者术中出血量、胃肠道功能恢复时间、住院时间少于对照组(P<0.05),手术时间、住院花费、淋巴结清扫个数多于对照组(P<0.05)。研究组患者并发症发生率低于对照组(P<0.05)。术前两组患者FACT-G评分比较无差异(P>0.05),术后研究组患者FACT-G评分高于对照组(P<0.05)。结论腹腔镜下宫颈癌根治术,能显著减少患者术中出血量、胃肠道功能恢复时间、住院时间、并发症发生率,提高淋巴结清扫率、生活质量,值得推荐使用。 Objective To investigate the clinical effect of laparoscopic radical hysterectomy and laparotomy on treatment of early cervical cancer. Methods Clinical data of 70 cases with early cervical cancer in our hospital from January 2016 to January 2017 were retrospectively analyzed,36 cases received conventional laparotomy were used as the control group;another 36 cases received laparoscopic surgery were used as the observation group. The postoperative clinical indicators,complication occurrence condition and life quality score of the two groups were compared. Results Blood loss,gastroenteric function recovery time,hospital stay of the observation group were less than those of the control group(P<0.05),surgery time,hospitalization cost,lymph gland dissection were higher than those of the control group(P<0.05). Complication rate of the observation group was lower than that of the control group(P<0.05). Before treatment,the difference of FACT-G score between the two groups had no statistic significance(P>0.05),FACT-G score of the observation group was higher than that of the control group after treatment(P>0.05). Conclusion Laparoscopic radical hysterectomy can significantly reduce blood loss,function recovery time,hospital stay,complication rate,improve lymph gland dissection rate,life quality,it is worthy of wide application.
作者 夏一丹
出处 《大医生》 2017年第8期3-4,48,共3页 Doctor
关键词 腹腔镜下宫颈癌根治术 开腹手术 宫颈癌 laparoscopic radical hysterectomy laparotomy cervical cancer
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