宫颈癌治疗体会

Analysis of Treatment Experience of Cervical Cancer

目的:分析宫颈癌患者采用传统开腹手术和经腹腔镜手术治疗的效果。方法:选取2019年3月-2020年3月湘雅常德医院收治的宫颈癌患者60例,依照硬币法将其分为观察组和对照组,各30例。对照组采用传统开腹手术治疗,观察组采用经腹腔镜手术治疗。观察两组患者术中、术后相关指标及生活质量情况。结果:观察组患者术中出血量、手术时间均低于对照组,淋巴结清扫数量高于对照组,差异有统计学意义(P<0.05)。观察组患者术后排气时间、引流管留置时间、下床活动时间以及住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者术后生活质量评分明显高于对照组,差异具有统计学意义(P<0.05)。结论:宫颈癌患者采用经腹腔镜手术治疗优势明显,可缩短住院时间,提高生活质量,值得推广。

Objective:To analyze the effects of traditional laparotomy and laparoscopic surgery in patients with cervical cancer.Methods:A total of 60 cervical cancer patients admitted to Xiangya Changde Hospital from March 2019 to March 2020 were selected and divided into observation group and control group according to the coin method,with 30 cases in each group.The control group was treated with traditional laparotomy,and the observation group was treated with laparoscopic surgery.The two groups of patients were observed in terms of related indicators during surgery,related indicators after surgery and quality of life scores.Results:The intraoperative blood loss and operation time of the patients in the observation group were lower than those in the control group,and the number of lymph node dissections was higher than that in the control group,with a statistically significant difference(P<0.05).The postoperative exhaust time,drainage tube indwelling time,ambulation time and hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The postoperative quality of life scores of patients in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of laparoscopic surgery in the treatment of cervical cancer patients has obvious advantages and can shorten the hospitalization time,improve quality of life,it can be promoted.