2004—2015年中国部分地区子宫颈癌腹腔镜手术情况调查及分析  

Study on the situation of laparoscopic surgery for cervical cancer in China from 2004 to 2015

作　　者：沈伟[1] 赵卫东[1] 郭建新 杨鹰 康山 王绍光[5] 倪妍 刘萍[7] 凌斌[8] 王武亮[9] 陆安伟 朱琳[11] 陈雨[1] 陈春林[7] 郎景和[12] Wei-dong;GUO Jian-xin;YANG Ying;KANG Shan;WANG Shoo-guang;NI Yan;UU Ping;LING Bin;WANG Wuliang;LU AN-wei;ZHU Lin;CHEN Yu;CHEN Chun-lin;LANG Jing-he(Department of Gynecologic Oncology,Anhui Provincial Cancer Hospital,Hefei 233004,China)

机构地区：[1]安徽省肿瘤医院妇瘤科,安徽合肥233004 [2]陆军军医大学大坪医院妇产科,重庆400042 [3]陆军军医大学新桥医院妇产科,重庆400038 [4]河北医科大学第四医院妇科,河北石家庄050019 [5]青岛大学医学院附属烟台毓璜顶医院妇产科,青岛264000 [6]运城市中心医院妇产科,山西运城044000 [7]南方医科大学南方医院妇产科,广东广州510515 [8]中日友好医院妇产科,北京100029 [9]郑州大学第二附属医院妇产科,河南郑州450014 [10]贵州省妇幼保健院妇产科,贵州贵阳550003 [11]山东大学第二医院妇产科,山东济南250100 [12]中国医学科学院北京协和医院妇产科,北京100730

出　　处：《中国实用妇科与产科杂志》2020年第2期150-153,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：十二五国家科技支撑计划（2014BAI05B03）;国家自然科学基金（81272585,81370736,81571422）;广州市科技计划（158100075）;南方医科大学高水平建设临床研究重点项目（LC2016ZD019）;安徽省自然科学基金（1708085MH184）

摘　　要：目的探讨2004-2015年国内开展腹腔镜手术治疗子宫颈癌的情况并分析其相关因素。方法采取多中心回顾性研究方法,收集2004-2015年,国内共计37家医院(南方医科大学南方医院、安徽省肿瘤医院、中日友好医院等)妇科手术治疗的子宫颈癌患者,分析其12年间腹腔镜手术治疗子宫颈癌的整体情况。根据入组标准共纳入24757例,其中开腹手术18701例为对照组,腹腔镜手术6056例为观察组,收集相关临床资料,分析腹腔镜手术占比的变化趋势及两组资料的差异。结果12年间,国内37家医院子宫颈癌总手术量增长7.31倍,年增长率为19.82%;子宫颈癌腹腔镜手术量增长252倍,年增长率为65.31%;相关因素分析发现患者年龄、FIGO分期、病灶大小、子宫切除类型和就诊医院类型是手术方式选择的影响因素(P<0.05)。结论近12年来,国内子宫颈癌腹腔镜手术开展迅速,医生更倾向于选择早期、病灶小、年轻的患者实施该术式。ObjectiveTo explore the situation of laparoscopic surgery for cervical cancer in China from2004 to 2015,and analyze the related factors.Methods A total of 24 757 cases of cervical cancer treated by gynecologic surgery in China from 2004 to 2015 were collected by a multicenter(Nanfang Hospital,Anhui Cancer Hospital, China-Japan Friendship Health Hospital,et al)and retrospective study,then the overall situation of laparoscopic surgery for cervical cancer in China in the past 12 years was analyzed. Divide the samples into laparoscopy group(n=6056) and laparotomy group(n=18 701)according to the operative method,then collect and compare related clinical data of the two groups.ResultsOver the past 12 years,the total operation number of cervical cancer in China has increased by 7.31 times,with an annual growth rate of 19.82%,while the total number of laparoscopic surgery increased by 252 times and the annual growth rate was 65.31%.Correlation factors analysis showed that age,FIGO staging,lesion size,hysterectomy type and hospital type were theinfluencing factors of operation choice(P<0.05).ConclusionThe total number of cervical cancer surgery hasincreased dramatically in the past 12 years with a higher growth rate of laparoscopic surgery. And laparoscopic surgerywas usually performed in cancer special hospital with younger, early FIGO stage, smaller scope of hysterectomy patient.

关 键 词：子宫颈肿瘤 腹腔镜 开腹手术 

分 类 号：R737.3[医药卫生—肿瘤]