比较腹腔镜及开腹宫颈癌根治术的临床疗效及术后患者生活质量

Comparison of clinical efficacy and quality of life of patients after laparoscopic and open cervical cancer radical surgery

目的探究宫颈癌患者采用腹腔镜手术与开腹宫颈癌根治术的治疗效果与其对生活质量的影响。方法本院2014年8月~2016年8月收治的110例宫颈癌患者,并根据双盲法分为2组,观察组予以腹腔镜宫颈癌根治术治疗,对照组予以开腹宫颈癌根治术治疗,并对比两组患者手术时间、淋巴结清扫数目出血量、排气时间与住院时间、焦虑评分、抑郁评分、术后1年生活质量评分以及并发症发生率。结果观察组手术时间与淋巴结清扫数目大于对照组,差异有统计学意义(P<0.05);观察组出血量、排气时间与住院时间少于对照组,差异有统计学意(P<0.05);观察组抑郁与焦虑评分小于对照组,差异有统计学意义(P<0.05);观察组术后1年生活质量评分高于对照组,差异有统计学意(P<0.05);观察组并发症发生率5.45%,低于对照组的25.45%,差异有统计学意(P<0.05)。结论与开腹宫颈癌根治术相比,腹腔镜宫颈癌根治术的治疗效果更显著,安全性更高。

Objective To investigate the effect of laparoscopic surgery and radical hysterectomy on the quality of life in patients with cervical cancer.Methods A total of 110 patients with cervical cancer who were admitted to our hospital from August 2014 to August 2016 were divided into two groups according to the double-blind method.The observation group was treated with laparoscopic radical mastectomy,and the control group was treated with open radical cervical cancer.The treatment was performed and the operative time,number of lymph node dissections,bleeding time,length of stay,hospital stay,anxiety score,depression score,postoperative one-year quality of life score,and complication rate were compared between the two groups.Results The operative time and the number of lymph node dissection in the observation group were greater than those in the control group(P<0.05).The blood loss,air-discharge time and length of stay in the observation group were less than those in the control group(P<0.05).Depression and anxiety scores in the observation group were lower than those in the control group(P<0.05).The observation group's 1-year postoperative quality of life score was higher than that in the control group(P<0.05).The observation group's complication rate was 5.45.%,lower than the 25.45%of the control group,the difference was statistically significant(P<0.05).Conclusion Laparoscopic radical cervical cancer surgery is more effective than open cervical cancer radical resection.Higher security.