无杯状举宫器腹腔镜与传统腹腔镜行宫颈癌根治术的对比研究

Comparative study of laparoscopic hysterectomy for cervical cancer with traditional laparoscopy

目的探讨无杯状举宫器腹腔镜下行宫颈癌根治术的可行性、安全性与临床应用价值。方法回顾性分析2018年11月至2019年5月于郑州大学第三附属医院妇科病区行腹腔镜下宫颈癌根治术42例患者的临床资料,其中术中使用杯状举宫器患者26例,未使用杯状举宫器患者16例。对比分析两组在手术时间、术中出血量、切除阴道壁长度及手术并发症的差异。结果腹腔镜下行宫颈癌根治术中,有无使用杯状举宫器,在手术时间、术中出血量、切除阴道壁长度等差异均无统计学意义(P>0.05),且术后并发症等差异均无统计学意义(P>0.05)。结论腹腔镜下行宫颈癌根治术时,术中不使用杯状举宫器是可行的、安全的,具有临床应用价值。

Objective To explore the feasibility,safety and clinical value of laparoscopic cup-less hysterectomy for cervical carcinoma.Methods Clinical data of 42 patients who underwent radical laparoscopy for cervical cancer in the department of gynaecology of the third affiliated hospital of zhengzhou university from November 2018 to May 2019 were retrospectively analyzed,including 26 patients who used cup-like uterine apparatus intraoperatively and 16 patients who did not use cup-like uterine apparatus.The differences in operative time,intraoperative blood loss and length of vaginal wall resection and operation complications between the two groups were compared and analyzed.Results There were no statistically significant differences in operative time,intraoperative blood loss,and length of vaginal wall resection during laparoscopic radical cervical cancer resection(P>0.05),and no statistically significant differences in postoperative complications(P>0.05).Conclusion It is feasible and safe to avoid the use of cup-lift in laparoscopic radical cervix carcinoma.