腹腔镜手术与经腹手术治疗宫颈癌安全性及有效性比较  

作　　者：张强[1] 

机构地区：[1]四川省仪陇县人民医院妇产科,四川南充637000

出　　处：《中国药业》2020年第S01期82-83,共2页China Pharmaceuticals

摘　　要：目的比较腹腔镜与经腹手术治疗宫颈癌的安全性及有效性。方法选取医院2016年5月至2018年6月接收的宫颈癌手术患者74例,随机分为观察组和对照组,各37例。观察组患者采取腹腔镜手术治疗,对照组患者实施经腹手术。结果两组患者的手术时间比较,差异无统计学意义(P>0.05);观察组患者的术中出血量、术后排气时间及住院天数均明显低于对照组(P<0.05)。两组患者的盆腔淋巴结清扫数及切缘阳性率比较,差异无统计学意义(P>0.05)。观察组患者术后并发症发生率为10.81%,明显低于对照组的24.32%(P<0.05)。结论腹腔镜手术与经腹手术治疗宫颈癌疗效相当,但腹腔镜手术的创伤更小,术后并发症少,安全性更高,可加快术后恢复。Objective To compare the safety and efficacy of laparoscopic and transabdominal surgery in the treatment of cervical cancer.Methods A total of 74 patients with cervical cancer received in our hospital from May 2016 to June 2018 were randomly divided into the observation group and the control group,37 cases in each group.The observation group was treated with laparoscopic surgery,while the control group was treated with transabdominal surgery.Results There was no significant difference in the operation time between the two groups(P>0.05),the intraoperative blood loss,postoperative exhaust time and hospital stay in the observation group were significantly lower than those in the control group(P<0.05).There was no significant difference in the number of pelvic lymph node dissection and the positive rate of incision margin between the two groups(P>0.05).The incidence of postoperative complications in the observation group was 10.81%,which was significantly lower than 24.32%in the control group(P<0.05).Conclusion Laparoscopic surgery and transabdominal surgery in the treatment of cervical cancer have the same curative effect,but laparoscopic surgery has less trauma,fewer postoperative complications,higher safety,and can accelerate postoperative recovery.

关 键 词：宫颈癌 腹腔镜手术 经腹手术 安全性 疗效 

分 类 号：R737.3[医药卫生—肿瘤]