腹腔镜下广泛性子宫切除术和经腹广泛性子宫切除术治疗早期子宫颈癌的对比研究  

Comparative Study of Laparoscopic Extensive Hysterectomy and Transabdominal Extensive Hysterectomy for Early Cervical Cancer

作　　者：梁利丹 高存远 付改玲[1] LIANG Lidan;GAO Cunyuan;FU Gailing(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,471000)

机构地区：[1]河南科技大学第一附属医院,471000

出　　处：《实用癌症杂志》2022年第11期1866-1868,共3页The Practical Journal of Cancer

摘　　要：目的对比分析腹腔镜下广泛性子宫切除术和经腹广泛性子宫切除术治疗早期子宫颈癌的效果。方法选取早期子宫颈癌患者68例,按手术方案不同分为A组(n=34)和B组(n=34),A组于腹腔镜下行广泛性子宫切除术,B组行经腹广泛性子宫切除术。对比两组围术期情况、并发症发生率、生存率及术后12 h、术后24 h、术后48 h的视觉疼痛模拟评分(VAS)。结果A组术中出血量较B组少,A组排尿功能恢复时间、肛门排气时间较B组短(P<0.05);术后12 h、术后24 h、术后48 h,A组VAS评分较B组低(P<0.05);A组并发症发生率[2.94%(1/34)]较B组[23.53%(8/43)]低(P<0.05);A组1年生存率[76.67%(23/30)]、5年生存率[70.00%(21/32)]与B组[84.38%(27/32)]、[78.13%(25/32)]对比无显著差异(P>0.05)。结论在早期子宫颈癌手术治疗中,腹腔镜下广泛子宫切除术虽可减轻手术创伤和术后疼痛,降低并发症发生率,但术后生存率低,而经腹广泛性子宫切除术手术创伤较大,但手术切除范围广,可避免残留病灶影响术后生存期,生存率高,预后效果理想,可结合患者实际情况选择最佳术式,确保患者临床获益。Objective To compare the effect of laparoscopic extensive hysterectomy and transabdominal extensive hysterectomy on early cervical cancer.Methods 68 patients with early cervical cancer were selected and divided into 2 groups,each with 34 cases,group A underwent laparoscopic extensive hysterectomy,group B underwent extensive transabdominal hysterectomy.The perioperative conditions,complication rate,survival rate and visual pain simulation score of 48 h after 24 h、were compared between the 2 groups(VAS).Results A group had less intraoperative bleeding than B group,The recovery time and anal exhaust time of A group were shorter than those of B group(P<0.05);Postoperative postoperative postoperative 12 h、24 h、48 h,The VAS score of A group was lower than that of B group(P<0.05);The incidence of complications in the A group was 2.94%(1/34)lower than that in the B group(P<0.05);There was no significant difference between the 1-year survival rate of 76.67%(23/30)and the 5 year survival rate of 70.00%(21/32)in group and 84.38%(27/32)and 78.13%(25/32)in B group(P>0.05).Conclusion Laparoscopic extensive hysterectomy can reduce surgical trauma and postoperative pain and reduce the incidence of complications in early cervical cancer surgery,but the postoperative survival rate is low.However,the range of surgical resection can avoid residual lesions affecting postoperative survival,high survival rate and ideal prognosis.

关 键 词：早期子宫颈癌 经腹广泛性子宫切除术 腹腔镜下广泛性子宫切除术 

分 类 号：R737.33[医药卫生—肿瘤]