腹腔镜与开腹手术治疗早期宫颈癌的临床疗效对比

Comparison of the clinical efficacy of laparoscopic and open surgery in patients with early cervical cancer

目的探讨早期宫颈癌患者应用腹腔镜手术与开腹手术的临床治疗效果。方法106例早期宫颈癌患者,根据手术术式不同分成观察组与对照组,各53例。观察组应用腹腔镜手术治疗,对照组应用传统开腹手术治疗。对比两组的手术指标、住院时间、术后并发症反应发生情况及复发率。结果两组手术时间、淋巴结清扫数对比,差异无统计学意义(P>0.05);观察组术中出血量(144.23±20.07)ml少于对照组的(310.01±20.17)ml,住院时间(8.93±1.33)d短于对照组的(14.02±2.12)d,差异具有统计学意义(P<0.05)。观察组患者并发症发生率7.5%明显低于对照组的22.6%,差异具有统计学意义(P<0.05)。3年后,观察组患者复发6例,复发率为11.3%;对照组复发7例,复发率为13.2%。两组复发率对比,差异无统计学意义(P>0.05)。结论早期宫颈癌患者应用腹腔镜手术治疗可减少创伤,降低并发症发生率,手术疗效肯定,患者康复快,建议临床应用。

Objective To discuss the clinical effect of laparoscopic and open surgery in patients with early cervical cancer.Methods A total of 106 patients with early cervical cancer were divided into observation group and control group according to different surgical procedures,with 53 cases in each group.The observation group was treated with laparoscopic surgery,and the control group was treated with traditional open surgery.The surgical indicators,hospitalization time,postoperative complications and recurrence rate of the two groups were compared.Results There was no statistically significant difference in the operation time and the number of lymph node dissections between the two groups(P>0.05).The intraoperative blood loss(144.23±20.07)ml of the observation group was less than(310.01±20.17)ml of the control group,and the hospitalization time(8.93±1.33)d was shorter than(14.02±2.12)d of the control group.All the differences were statistically significant(P<0.05).The complication rates 7.5%in the observation group was significantly lower than 22.6%in the control group,and the difference was statistically significant(P<0.05).3 years after treatment,6 patients in the observation group had recurrence,with a recurrence rate of 11.3%;7 patients in the control group had recurrence,with a recurrence rate of 13.2%.There was no statistically significant difference in the recurrence rates between the two groups(P>0.05).Conclusion Laparoscopic surgery has definite efficacy on patients with early cervical cancer,which can reduce the trauma and lower the complication rates,and patients recover quickly.It is recommended for clinical application.