腹腔镜微创手术与开腹手术治疗宫颈癌患者的效果比较  

Comparison of effects of laparoscopic minimally invasive surgery and open surgery on patients with cervical cancer

作　　者：郭春杏[1] 刘婵娣 刘付小清 董彩霞[1] GUO Chunxing;LIU Chandi;LIU Fuxiaoqing;DONG Caixia(Department of Obstetrics and Gynecology of Huazhou People’s Hospital,Huazhou 525100 Guangdong,China)

机构地区：[1]化州市人民医院妇产科

出　　处：《中国民康医学》2019年第21期23-25,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较腹腔镜微创手术与开腹手术治疗宫颈癌患者的效果。方法:选取102例宫颈癌患者作为研究对象,依据随机数字表法将其分为观察组和对照组各51例,观察组采用腹腔镜微创手术治疗,对照组采用开腹手术治疗。比较两组手术时间?术中出血量?排气时间,术后1年的并发症发生率及生命质量。结果:观察组的手术时间明显长于对照组,术中出血量明显少于对照组,排气时间明显短于对照组,差异均有统计学意义(P<0.05);观察组并发症的发生率为21.57%(11/51),明显低于对照组的68.63%(35/51),差异有统计学意义(P<0.05);观察组患者术后1年的生命质量各项评分显著优于对照组,差异有统计学意义(P<0.05)。结论:与开腹手术相比,腹腔镜微创手术治疗宫颈癌,可有效减少患者的术中出血量并降低并发症的发生率,提高患者术后的生命质量。Objective: To compare effects of laparoscopic minimally invasive surgery and open surgery in treatment of cervical cancer. Methods: 102 patients with cervical cancer were selected as the research objects, and they were divided into observation group(n=51) and control group(n=51) according to the random number table method. The observation group was treated with laparoscopic minimally invasive surgery, while the control group was treated with open surgery. Then, the operation time, the intraoperative blood loss, the exhaust time, and the incidence of complications and the quality of life one year after the surgery were compared between the two groups. Results: The operation time in the observation group was significantly longer than that in the control group;the intraoperative blood loss was significantly less than that in the control group;the exhaust time was significantly shorter than that in the control group;and the differences were statistically significant(P<0.05). The incidence of complications in the observation group was 21.57%(11/51), which was significantly lower than 68.63%(35/51) in the control group, and the difference was statistically significant(P<0.05). The quality of life of the observation group one year after the surgery was significantly better than that in the control group, and the differences were statistically significant(P<0.05). Conclusions: Compared with open surgery, laparoscopic minimally invasive surgery for cervical cancer can effectively reduce the intraoperative blood loss, reduce the incidence of complications, and improve the postoperative quality of life of these patients.

关 键 词：腹腔镜微创手术 开腹手术 宫颈癌 

分 类 号：R737.33[医药卫生—肿瘤]