早期宫颈残端癌腹腔镜与开腹手术应用举宫杯的临床比较分析  

Comparative analysis on laparoscopic and open surgery in treating early cervical stump cancer with uterus lifting cup

作　　者：夏百荣[1] 刘天伯[1] 陈虹[1] 娄阁[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院,黑龙江哈尔滨150081

出　　处：《腹腔镜外科杂志》2015年第12期881-885,共5页Journal of Laparoscopic Surgery

摘　　要：目的：比较评估腹腔镜与开腹手术治疗宫颈残端癌的临床疗效及举宫杯的应用价值。方法：将67例早期宫颈癌（ⅠA~ⅡA期）患者随机分为腹腔镜组（n=32）与开腹组（n=35）,观察两组患者临床病理资料、术中情况、术后恢复及随访情况等指标。结果：腹腔镜组术中出血量、手术时间、术后康复指标（术后下床活动早、排气时间短、无明显发热）、住院时间优于开腹组（P〈0.05）;两组术后并发症发生率、复发率差异无统计学意义（P〉0.05）,但腹腔镜组术后生活质量明显提高（P〈0.05）。结论：腹腔镜手术治疗宫颈残端癌的疗效优于开腹手术,明显提高了患者的术后生存质量,值得进一步推广。术中应用举宫杯可使手术更加安全、快捷。Objective：To compare and evaluate the clinical effects of laparoseopic and open surgeries in early cervical stump cancer and the application of uterus lifting cup. Methods ： Sixty-seven patients with early cervical stump cancer （ FIGO Ⅰ A- ⅡA ） were randomly divided into laparoscopic group （ n = 32） and open group （ n = 35 ）. Clinical histopathologieal variables, intraoperative conditions, postoperative recovery and follow-up were observed. Results：Compared with open group, less blood loss, shorter operative time, quicker recovery （earlier postoperative ambulation ,shorter exhaust time, no significant fever）, shorter hospital stay occurred in laparoscopic group （ P 〈 0.05 ）. There were no significant differences in postoperative complications or recurrence （ P 〉 0.05 ）. However, the quality of life after surgery in laparoscopic group was significantly higher than that in open group （P 〈 0.05 ）. Conclusions ：The laparoscopic treatment is more effective for cervical stump cancer than laparotomy, and laparoscopic treatment significantly improves the quality of life after surgery, so laparoscopic surgery is worthy of promotion. The uterus lifting cup makes the operations safer and quicker.

关 键 词：宫颈残端肿瘤 腹腔镜检查 剖腹术 举宫杯 

分 类 号：R737.33[医药卫生—肿瘤]