腹腔镜手术治疗早期宫颈癌患者的临床效果和安全性  

Clinical effect and safety of laparoscopic surgery in the treatment of early cervical cancer

作　　者：程心一 王爱喜[1] CHENG Xin-yi;WANG Ai-xi(Gynaecology Department,the Third People's Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州市第三人民医院妇科,河南郑州450000

出　　处：《临床医学研究与实践》2020年第5期78-79,共2页Clinical Research and Practice

摘　　要：目的探讨腹腔镜手术治疗早期宫颈癌患者的临床效果和安全性。方法将62例早期宫颈癌患者根据完全随机法分为观察组与对照组,各31例。观察组给予腹腔镜宫颈癌根治术,对照组给予开腹宫颈癌根治术。比较两组的治疗效果。结果手术后5 d,两组的IL-10、IL-6及TNF-α水平均高于手术前,但观察组低于对照组(P<0.05)。观察组的并发症总发生率显著低于对照组(P<0.05)。手术后1、3、5年,观察组的FACT-G评分均高于对照组(P<0.05)。结论腹腔镜宫颈癌根治术治疗早期宫颈癌患者可降低炎症反应水平,提高生存质量。Objective To investigate the clinical effect and safety of laparoscopic surgery in the treatment of early cervical cancer.Methods Sixty-two patients with early cervical cancer were divided into observation group and control group by the complete randomized method,with 31 cases in each group.The observation group was given laparoscopic radical surgery for cervical cancer,and the control group was given open radical surgery for cervical cancer.The therapeutic effects of the two groups were compared.Results At 5 days after operation,the levels of IL-10,IL-6 and TNFa in the two groups were higher than those before operation,but those in the observation group were lower than the control group(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).At 1,3 and 5 years after operation,the scores of FACT-G in the observation group were higher than those in the control group(P<0.05).Conclusion Laparoscopic radical surgery for cervical cancer in the treatment of early cervical cancer can reduce the level of inflammatory response and improve the quality of life of patients.

关 键 词：早期宫颈癌 开腹宫颈癌根治术 腹腔镜宫颈癌根治术 

分 类 号：R737.33[医药卫生—肿瘤]