腹腔镜广泛全子宫切除术治疗宫颈癌的效果观察

Effects of laparoscopic radical hysterectomy on patients with cervical cancer

目的:观察腹腔镜广泛全子宫切除术治疗宫颈癌患者的效果。方法:选取宫颈癌患者104例,采用随机数字表法将其分为对照组和观察组各52例。对照组患者进行传统开腹广泛全子宫切除术治疗,观察组患者进行腹腔镜广泛全子宫切除术治疗,书中两组均行盆腔淋巴结清扫治疗。比较两组患者的手术情况(淋巴结切除数量、手术时间、术中出血量、输血率)、术后恢复情况(肛门通气时间、留置尿管时间、住院时间)及并发症发生情况。结果:两组的淋巴结切除数量比较,差异无统计学意义(P>0.05),观察组的术中出血量、输血率均明显小于对照组,手术时间、肛门通气时间、留置尿管时间、住院时间均明显短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为7.69%,明显低于对照组的38.46%,差异有统计学意义(P<0.05)。结论:腹腔镜广泛子宫切除术治疗宫颈癌的效果优于传统开腹广泛全子宫切除术的治疗效果。

Objective:To observe therapeutic effects of laparoscopic radical hysterectomy on patients with cervical cancer.Methods:104 patients with cervical cancer were selected and divided into control group and observation group by using the random number table method,52 cases in each group.The control group underwent radical hysterectomy with conventional open surgery,while the observation group was given the laparoscopic radical hysterectomy.Besides,the two groups underwent pelvic lymphadenectomy.The operation status(number of lymph node dissected,operation time,intraoperative blood loss,and blood transfusion rate),postoperative recovery(anal ventilation time,indwelling catheter time,hospitalization time)and complications were compared between the two groups.Results:There was no significant difference in the number of lymph node dissected between the two groups(P >0.05).The intraoperative blood loss and blood transfusion rate were significantly lower in the observation group than the control group;the operation time,anal ventilation time,indwelling catheter time,and hospitalization time were significantly shorter than those of the control group;and the differences were statistically significant(P<0.05).The complication rate of the observation group was 7.69%,which was significantly lower than that of the control group(38.46%),and the difference was statistically significant(P<0.05).Conclusions:Laparoscopic radical hysterectomy in the treatment of the patients with cervical cancer is superior to conventional open radical hysterectomy.