腹腔镜手术与开腹手术治疗早期宫颈癌的疗效比较  

Comparative analysis of therapeutic efficacy of laparoscopic radical cervical cancer and laparotomy for early cervical cancer

作　　者：马霞[1] 胡燕 柴泽英[1] 余军辉[1] Ma Xia;Hu Yan;Chai Zeying;Yu Junhui(Department of Obstetrics and Gynecology,Taizhou Hospital,Linhai,Zhejiang 317000,China)

机构地区：[1]浙江省台州医院妇产科,浙江省临海317000

出　　处：《中国基层医药》2018年第19期2521-2524,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 比较腹腔镜手术与开腹手术治疗早期宫颈癌的临床疗效.方法 选取浙江省台州医院2015年3月至2017年3月收治的早期宫颈癌患者102例,采用随机数字表法分为对照组和研究组各51例,对照组采取传统开腹手术,研究组患者采取腹腔镜下宫颈癌根除术,观察并记录两组患者手术时间、术中出血量、术后肛门首次排气时间、术后住院时间、盆腔淋巴结清扫数量以及两组患者并发症发生情况.结果 研究组手术时间（239.3±66.7）min,明显长于对照组的（156.9±41.5）min,观察组术中出血量（299.8±49.2）mL、术后肛门首次排气时间（44.6±6.7）min、术后住院时间（6.5±2.3）d,明显少于/短于对照组的（361.4±60.3）mL、（62.5±7.0）min、（10.9±4.4）d,两组差异均有统计学意义（t=5.65、7.49、13.19、6.33,均P〈0.01）;同时研究组患者盆腔淋巴结清扫数量明显多于对照组[（28.2±3.9）个比（18.8±4.1）个]（t=11.86,P〈0.01）.研究组患者术后并发症发生率为9.8％,低于对照组的25.5％（χ2=0.092,P=0.035）.结论 腹腔镜下宫颈癌根治术治疗早期宫颈癌较传统开腹手术比较具有临床疗效好,并发症低等优点,值得临床上推广应用.Objective To compare the clinical efficacy of laparoscopic radical resection of cervical cancer and laparotomy in the treatment of early cervical cancer.Methods From March 2015 to March 2017,102 patients with early cervical cancer in Taizhou Hospital were selected and randomly divided into control group and study group according to the digital table,with 51 cases in each group.The control group received traditional open surgery,the study group received laparoscopic surgery for cervical cancer.The operation time,intraoperative blood loss,postoperative first exhaust time,postoperative hospital stay,pelvic lymph node dissection and complication occurred in both two groups were observed and recorded in hysteroscopic cervical cancer.Results The operation time of the study group was significantly longer than that of the control group [（239.3 ±66.7）min vs.（156.9 ±41.5）min,t=5.65,P〈0.01],the amount of intraoperative blood loss,the time of first postoperative exhaust and postoperative hospital stay of the study group were significantly less/shorter than those of the control group [（299.8 ±49.2）mL vs.（361.4 ± 60.3）mL,（44.6 ±6.7）min vs.（62.5 ±7.0）min,（6.5 ±2.3）d vs.（10.9 ±4.4）d,t=7.49,13.19,6.33,all P〈0.01].And the number of pelvic lymph node dissection of the study group was significantly higher than that of the control group[（28.2 ±3.9）vs.（18.8 ±4.1）,t=11.86,P〈0.01].The incidence rate of postoperative complications in the study group was 9.8%,which in the control group was 25.5%,the difference was statistically significant（χ2 =0.092,P=0.035）.Conclusion Laparoscopic radical resection of cervical cancer is superior to traditional laparotomy in the treatment of early cervical cancer.It has advantages of good clinical efficacy and less complication.It is worthy of clinical application.

关 键 词：宫颈肿瘤 腹腔镜检查 

分 类 号：R737.33[医药卫生—肿瘤]