腹腔镜辅助阴式子宫广泛切除术对子宫颈癌患者近期疗效和预后状况的影响  

Effect of Laparoscopic Assisted Radical Vaginal Hysterectomy on the Short-term Efficacy and Prognosis of Patients with Cervical Cancer

作　　者：汪娟[1] 熊斌 WANG Juan;XIONG Bin(Huanggang Maternal and Child Health Hospital,Huanggang 438000,China;不详)

机构地区：[1]黄冈市妇幼保健院,湖北黄冈438000

出　　处：《中外医学研究》2022年第6期147-150,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨腹腔镜辅助阴式子宫广泛切除术(LARVH)对子宫颈癌患者近期疗效及预后状况的影响。方法:抽选2020年1月-2021年1月在黄冈市妇幼保健院确诊并治疗的76例子宫颈癌患者,所有患者均接受子宫切除术,回顾性分析患者的诊疗资料。依据不同的子宫切除术方式分组,对照组(38例)应用经腹根治性子宫切除术(RAH),研究组(38例)应用LARVH。比较两组术中指标、近期预后指标、并发症、手术切除指标差异。结果:术中出血指标:研究组出血量>800 ml率、术中输血率较对照组低,平均出血量比对照组少(P<0.05)。两组术中并发症及手术时长比较,差异无统计学意义(P>0.05)。两组术后发热率、术前术后血红蛋白差值比较,差异无统计学意义(P>0.05)。研究组术后排气时间比对照组早,住院时间比对照组短(P<0.05)。研究组术后并发症发生率比对照组低(P<0.05)。研究组淋巴结切除个数比对照组少(P<0.05)。两组的切缘阳性率、淋巴结阳性率及宫旁切除范围比较,差异无统计学意义(P>0.05)。结论:与RAH相比,LARVH在手术切除效果方面并无明显差异,而LARVH对子宫颈癌患者的损伤更小,术中出血量及术后并发症更少,更利于子宫颈癌患者术后早期康复。Objective:To investigate the short-term efficacy and prognosis of laparoscopic assisted radical vaginal hysterectomy(LARVH)in the treatment of cervical cancer.Method:A total of 76 patients with cervical cancer were selected from Huanggang Maternal and Child Health Hospital from January 2020 to January 2021.All patients received hysterectomy.The clinical data of all patients with cervical cancer were analyzed retrospectively.According to different types of hysterectomy,the control group(38 cases)was treated with radical abdominal hysterectomy(RAH),and the study group(38 cases)was treated with LARVH.The differences of intraoperative indexes,short-term prognosis indexes,complications,surgical resection between the two groups were compared.Result:Intraoperative bleeding index:the rate of blood loss>800 ml,the rate of blood transfusion in the study group were lower than those in the control group,the average blood loss was less than that in the control group(P<0.05).There were no significant differences in intraoperative complications and operation time between the two groups(P>0.05).There were no significant differences in postoperative fever rate and hemoglobin difference before and after operation between the two groups(P>0.05).The postoperative exhaust time of study group was earlier than that of control group,and the hospital stay was shorter than that of the control group(P<0.05).The incidence of postoperative complications in the study group was significantly lower than that in the control group(P<0.05).The number of lymph node resection in the study group was significantly less than that in the control group(P<0.05).There was no significant difference in the positive rate of cutting edge,positive rate of lymph node and the range of hysterectomy between the two groups(P>0.05).Conclusion:Compared with RAH,LARVH has no obvious difference in resection effect.However,LARVH has less injury,less blood loss and fewer complications,so it is more conducive to the early rehabilitation of cervical cancer patients.

关 键 词：腹腔镜 阴式子宫广泛切除 经腹根治性子宫切除术 出血量 并发症 

分 类 号：R737.33[医药卫生—肿瘤]