腹腔镜与开腹子宫广泛性切除术治疗Ⅰa2～Ⅱb期子宫颈癌患者的临床对比分析

Clinical comparative analysis of laparoscopic and open radical hysterectomy for stage Ⅰa2-Ⅱb cervical cancer

目的子宫颈癌Ⅰa2~Ⅱb期采用腹腔镜与开腹子宫广泛性切除术治疗的效果进行对比。方法选取本院2016年1月至2018年1月收治的62例Ⅰa2~Ⅱb期子宫颈癌患者,随机分为观察组与对照组,各31例,对照组采用开腹子宫广泛性切除术治疗,观察组采用腹腔镜子宫广泛性切除术治疗,对两组治疗效果进行对比。结果两组患者在手术相关指标方面对比,观察组手术时间(152.76±24.87)min、术中尿量(338.24±68.23)mL、术中出血量(207.19±41.37)mL、术中输液量(1 340.74±167.58)mL、淋巴结清除数量(13.26±2.44)枚、术后发热时间(1.96±0.72)d、术后排气时间(1.57±0.41)d、下床活动时间(1.79±0.47)d、留置尿管时间(13.61±1.82)d、住院时间(16.17±2.11)d,对照组手术时间(198.63±31.54)min、术中尿量(251.03±58.22)mL、术中出血量(357.18±61.58)mL、术中输液量(1 862.46±216.57)mL、淋巴结清除数量(10.83±1.72)枚、术后发热时间(2.77±0.98)d、术后排气时间(2.84±0.76)d、下床活动时间(2.66±0.73)d、留置尿管时间(16.76±2.13)d、住院时间(20.43±2.67)d,观察组各指标均明显优于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.23%,明显低于对照组的19.35%,差异有统计学意义(P<0.05)。结论对Ⅰa2~Ⅱb期子宫颈癌患者采用腹腔镜子宫广泛性切除术治疗,疗效显著,值得推广。

Objective To compare the effect of laparoscopic and open radical hysterectomy in the treatment of cervical cancer stage Ⅰa2~Ⅱb.Methods 62 patients with stage Ⅰa2-Ⅱ b cervical cancer admitted to our hospital from January 2016 to January 2018 were randomly divided into observation group and control group, with 31 cases in each group. The control group was treated with open hysterectomy, while the observation group was treated with laparoscopic hysterectomy. The therapeutic effects of the two groups were compared. Results The two groups of patients were compared in terms of surgical related indexes. The operation time of the observation group was(152.76±24.87) min, the intraoperative urine volume(338.24±68.23) mL, the intraoperative blood loss(207.19±41.37) mL, and the intraoperative fluid volume(1 340.74±167.58) mL, lymph node clearance(13.26±2.44), postoperative fever time(1.96±0.72) d, postoperative exhaust time(1.57±0.41) d, get out of bed activity time(1.79±0.47) d, indwelling catheter time(13.61±1.82) d, hospitalization time(16.17±2.11) d, operation time of the control group(198.63±31.54) min, intraoperative urine volume(251.03±58.22) mL, intraoperative blood loss(357.18±61.58) mL, intraoperative fluid volume(1 862.46±216.57) mL, lymph node clearance(10.83±1.72), postoperative fever time(2.77±0.98) d, postoperative exhaust time(2.84±0.76) d, get out of bed activity time(2.66±0.73) d,indwelling catheter time(16.76±2.13) d, hospitalization time(20.43±2.67) d, all indexes in the observation group were significantly better than the control group, the difference was statistically significant(P<0.05). The complication rate in the observation group was 3.23%, significantly lower than that in the control group(19.35%), with statistically significant difference(P<0.05). Conclusion The treatment of Ⅰa2-Ⅱb cervical cancer patients with laparoscopic uterus extensive resection, the effect is significant, it is worth promoting.