腹腔镜手术与开腹手术治疗早期宫颈癌临床分析

Clinical analysis on laparoscopic surgery and open surgery for early cervical cancer

目的:探讨早期宫颈癌行腹腔镜下广泛子宫切除术和淋巴结清扫术的临床应用价值。方法:回顾性分析早期宫颈癌患者临床特征及治疗情况。观察患者手术时间、淋巴结切除、术后出血量、导管留置时间与术中及术后并发症等临床指标。结果:腹腔镜手术组术中出血量少于开腹手术组(P<0.001)。腹腔镜手术组术后排气时间、住院时间与尿管留置时间均优于开腹手术组(P<0.001)。结论:早期宫颈癌采用腹腔镜下广泛子宫切除术与淋巴结清扫术,具有手术彻底、创伤少、恢复快的特点,近期疗效明确,在技术与设备条件允许情况下可考虑广泛推广应用。

Objective:To investigate the clinical value of laparoscopic extensive hysterectomy and lymph node dissection for earlycervical cancer.Methods:The clinical characteristics and treatment of early cervical cancer were analyzed retrospectively.Theoperation time,lymph node resection,postoperative bleeding volume,catheter indwelling time and intraoperative and postoperativecomplications were observed.Results:The amount of bleeding in laparoscopic surgery group was less than that in laparotomygroup(P<0.001).The postoperative exhaust time,length of stay and indwelling time of the laparoscopic surgery group were betterthan those of the open surgery group(P<0.001).Conclusion:Early cervical cancer by laparoscopic radical hysterectomy andlymphadenectomy with less trauma,surgical range completely recovered quickly,curative effect is clear,it can be widelypopularized and applied in the case of allowing technology and equipment.