腹腔镜与开腹手术治疗宫颈癌的临床研究

Clinical effects of laparoscopic and laparotomy surgery in the treatment of cervical cancer

目的:研究腹腔镜与开腹手术治疗宫颈癌的临床效果。方法:选取我院2014年5月至2016年5月收治的宫颈癌患者80例,依据治疗方法将这些患者分为腹腔镜手术组(n=40)和开腹手术组(n=40)两组,对两组患者的手术时间、术中出血量、淋巴结清扫数等术中指标及排气时间、排便时间、盆腔引流量、抗生素应用时间、引流管拔除时间、尿管拔除时间、体温恢复时间、住院时间、住院费用等术后指标、术后并发症发生情况进行统计分析。结果:腹腔镜手术组患者的术中出血量显著少于开腹手术组(P<0.05),术后排气时间、排便时间、引流管拔除时间、住院时间均显著短于开腹手术组(P<0.05),术后并发症发生率12.5%(5/40)显著低于开腹手术组的35.0%(14/40)(P<0.05)。结论:腹腔镜手术较开腹手术治疗宫颈癌的临床效果好,更能有效减少患者的术中出血量,缩短患者的术后排气时间、排便时间、引流管拔除时间、住院时间,降低患者的术后并发症发生率,安全有效。

Objectives:To study the clinical effect of laparoscopy and laparotomy surgery in the treatment of cervical cancer.Methods:80 cervical cancer patients in our hospital from May 2014 to May 2016 were selected and divided into laparoscopic surgery group(n=40)and laparotomy surgery group(n=40)according to the treatment methods.The operation time,intraoperative blood loss,lymph nodes and other intraoperative indicators and the exhaust time,defecation time,pelvic drainage,antibiotics application time,extubation time,catheter time,temperature recovery time,hospitalization time,hospitalization expenses and other postoperative indexes,postoperative complications of the two groups were statistically analyzed.Results:The intraoperative blood loss of the laparoscopic surgery group was significantly less(P<0.05);the postoperative exhaust time,defecation time,extubation time,hospitalization time were significantly shorter(P<0.05);the postoperative complication rate(12.5%,5/40)was significantly lower than the laparotomy group(35%,14/40)(P<0.05).Conclusion:The clinical effect of laparoscopic surgery is better than laparotomy surgery in the treatment of cervical cancer,which can effectively reduce the intraoperative blood loss,shorten the postoperative exhaust time,defecation time,drainage tube extraction time,hospitalization time and reduce the incidence of postoperative complications,being safe and effective