腹腔镜手术治疗宫颈癌的疗效探讨

Discussion on efficacy of laparoscopic surgery for cervical cancer

目的 探讨腹腔镜手术治疗宫颈癌的临床疗效。方法 60例宫颈癌患者,随机分为对照组和腹腔镜组,各30例。对照组患者实施开腹手术治疗,腹腔镜组患者实施腹腔镜手术治疗。对比两组患者治疗前后生存质量及手术时间、术中出血量、淋巴结清扫数目、术后排气时间、住院时间、并发症发生情况。结果 治疗前,两组生存质量评分对比,差异无统计学意义(P>0.05);治疗后,腹腔镜组生存质量评分(95.26±2.21)分高于对照组的(83.27±2.10)分,差异有统计学意义(P<0.05)。腹腔镜组手术时间(210.21±12.46)min、术后排气时间(17.03±2.13)h、住院时间(9.45±2.81)d均短于对照组的(260.21±12.01)min、(23.51±3.01)h、(12.24±2.01)d,术中出血量(235.13±32.46)ml少于对照组的(345.27±32.01)ml,差异有统计学意义(P<0.05);两组淋巴结清扫数目对比,差异无统计学意义(P>0.05)。腹腔镜组并发症发生率3.33%(1/30)低于对照组的20.00%(6/30),差异有统计学意义(P<0.05)。结论 宫颈癌患者实施腹腔镜手术治疗效果确切,可有效减少术中出血量及术后并发症,缩短术后恢复时间,对于改善患者术后生存质量具有重要的意义。

Objective To discuss the clinical efficacy of laparoscopic surgery for cervical cancer.Methods A total of 60 patients with cervical cancer were randomly divided into a control group and a laparoscopic group, with 30 patients in each group. Patients in the control group were treated with open surgery,and patients in the laparoscopic group were treated with laparoscopic surgery. Both groups were compared in terms of quality of life, operative time, intraoperative blood loss before and after treatment, number of lymph node dissection, postoperative exhaust time, hospitalization time, and occurrence of complications. Results Before treatment, there was no statistically significant difference in the quality of life score between the two groups(P>0.05). After treatment, the laparoscopic group had a higher quality of life score of(95.26±2.21) points than(83.27±2.10) points in the control group, and the difference was statistically significant(P<0.05). The operative time(210.21±12.46) min, postoperative exhaust time(17.03±2.13) h, and hospitalization time(9.45±2.81) d in the laparoscopic group were shorter than(260.21±12.01) min,(23.51±3.01) h, and(12.24±2.01) d in the control group;the intraoperative blood loss(235.13±32.46) ml in the laparoscopic group was less than(345.27±32.01) ml in the control group;the differences were statistically significant(P<0.05). There was no statistically significant difference in the number of lymph node dissection between the two groups(P>0.05). The complication rate in the laparoscopic group was 3.33%(1/30), which was lower than 20.00%(6/30) in the control group, and the difference was statistically significant(P<0.05). Conclusion Laparoscopic surgery has definite effect for patients with cervical cancer, and can effectively reduce intraoperative blood loss and postoperative complications, shorten the postoperative recovery time, which is of great significance for improving the postoperative quality of life of patients.