腹腔镜手术治疗宫颈癌的临床疗效及对患者负性情绪和生命质量的影响

Effect of laparoscopic surgery on cervical cancer and its impact on negative emotion and quality of life

目的探讨腹腔镜手术治疗宫颈癌的临床疗效及对患者负性情绪、生命质量的影响。方法选取2017年6月至2021年6月平原县第一人民医院收治的74例宫颈癌患者作为研究对象,按照随机数字表法分为腹腔镜手术组与开腹手术组,每组37例。开腹手术组行开腹广泛性子宫切除手术辅以盆腔淋巴结清扫治疗,腹腔镜手术组于腹腔镜下行广泛性子宫切除手术辅以盆腔淋巴结清扫治疗,比较两组手术情况、治疗前后心理状态及生命质量。结果腹腔镜手术组术后排气时间、尿管留置时间及住院时间均短于开腹手术组,术中出血量少于开腹手术组,淋巴结清扫数量多于开腹手术组,差异有统计学意义(P<0.05)。治疗后,两组抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于治疗前,且腹腔镜手术组低于开腹手术组,差异有统计学意义(P<0.05)。治疗后,两组躯体功能、社会功能、心理功能、物质生活评分均高于治疗前,且腹腔镜手术组高于开腹手术组,差异有统计学意义(P<0.05)。腹腔镜手术组并发症发生率为2.70%,低于开腹手术组的21.62%,差异有统计学意义(P<0.05)。结论腹腔镜手术治疗宫颈癌患者,有利于改善手术情况,缓解焦虑、抑郁等负性情绪,降低并发症发生率,提高患者术后生命质量,值得临床推广应用。

Objective To investigate the clinical efficacy of laparoscopic surgery on cervical cancer and its impact on negative emotion and quality of life.Methods A total of 74 patients with cervical cancer admitted to the First People's Hospital of Pingyuan County from June 2017 to June 2021 were selected as the study subjects,and they were divided into the laparoscopic surgery group and the open surgery group according to random number table method,with 37 cases in each group.The open surgery group underwent extensive hysterectomy combined with pelvic lymph node dissection was performed,in the laparoscopic surgery group underwent extensive hysterectomy combined with pelvic lymph node dissection was performed,the conditions of operation,psychological state and life quality before and after treatment were compared between the two groups.Results The postoperative exhaust time,urinary catheter retention time and hospital stay in the laparoscopic surgery group were shorter than those in the open surgery group,the intraoperative blood loss was less than that in the open surgery group,and the number of lymph node dissection was more than that in the open surgery group,the differences were statistically significant(P<0.05).After treatment,the self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores of the two groups were lower than before treatment,and laparoscopic surgery group was lower than the open surgery group,the differences were statistically significant(P<0.05).After treatment,the scores of physical function,social function,psychological function and material life of the two groups were higher than before treatment,and the laparoscopic surgery group was higher than the open surgery group,the differences were statistically significant(P<0.05).The complication rate of laparoscopic surgery group was 2.70%,which was lower than 21.62%in the open surgery group,the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery in the treatment of cervical cancer patients is beneficial to improve the operation situation,relieve anxiety,depression and other negative emotions,reduce the incidence of complications,improve the postoperative quality of life of patients,worthy of clinical promotion and application.