筋膜外子宫切除术与广泛全子宫切除术治疗Ⅰa期宫颈癌的效果比较  

Comparison of effect of extrafascial hysterectomy and extensive radical hysterectomy in the treatment of stageⅠa cervical cancer

作　　者：王利敏[1] 李鹏军 高雁荣 Wang Limin;Li Pengjun;Gao Yanrong(Department of Gynecology,Anyang Maternal and Child Health Care Hospital,Anyang 455000,China;Department of Gynecology,Anyang Cancer Hospital,Anyang 455000,China)

机构地区：[1]安阳市妇幼保健院妇科,安阳455000 [2]安阳市肿瘤医院妇科,安阳455000

出　　处：《中国实用医刊》2024年第8期38-41,共4页Chinese Journal of Practical Medicine

摘　　要：目的比较筋膜外子宫切除术(EH)与广泛全子宫切除术(RH)治疗Ⅰa期宫颈癌的临床效果。方法回顾性抽取2020年2月至2023年2月于安阳市妇幼保健院完成RH治疗和术后3年随访的44例Ⅰa期宫颈癌患者并纳入RH组,另抽取同期完成EH治疗和术后3年随访的44例Ⅰa期宫颈癌患者纳入EH组。两组患者入院后均接受手术治疗。两组患者治疗相关资料、随访资料完整,随访终点事件为复发、转移或死亡。收集两组患者的临床资料,比较两组手术相关指标、并发症发生情况、膀胱功能指标及术后随访情况。结果EH组手术时间、术后排气时间、住院时间均短于RH组,术中出血量少于RH组(P<0.05)。术前,两组患者各项膀胱功能指标比较差异未见统计学意义(P>0.05);术后,两组患者各项膀胱功能指标均有所提升,但EH组各指标低于RH组(P<0.05)。EH组并发症总发生率(4.55%,2/44)低于RH组(18.18%,8/44),P<0.05。随访期间,两组术后复发、转移、病死等发生率比较,差异未见统计学意义(P>0.05)。结论相比于RH,EH对Ⅰa期宫颈癌患者的机体创伤更小,更益于患者术后恢复。Objective To compare the efficacy of extrafascial hysterectomy(EH)and extensive radical hysterectomy(RH)in the treatment of stage Ia cervical cancer.Methods A total of 44 patients with stage Ia cervical cancer who underwent extensive RH treatment and 3-year postoperative follow-up in Anyang Maternal and Child Health Care Hospital from February 2020 to February 2023 were retrospectively selected and included in the RH group,another 44 patients with stage Ia cervical cancer treated by EH during the same period who were followed up for 3 years after surgery were selected and enrolled in the EH group.Both groups received surgical treatment after admission.The treatment related indicators and follow-up data of the two groups were complete;and the follow-up endpoint events were recurrence,metastasis,or death.The clinical data of the two groups were collected.The surgical related indicators,incidence of complications,bladder function indicators,and postoperative follow-up of the two groups were compared.Results The surgery time,postoperative exhaust time,and hospital stay of the EH group were shorter than those of the RH group,and the intraoperative bleeding volume of the EH group was lower than that of the RH group(P<0.05).Before surgery,there was no statistically significant difference in bladder function indicators between the two groups(P>0.05).After surgery,every bladder function indicator in both groups were improved compared with preoperative indicators,but the bladder function indicators in the EH group were lower than those in the RH group(P<0.05).The total incidence of complications in the EH group(4.55%,2/44)was lower than that in the RH group(18.18%,8/44),P<0.05.During the follow-up period,there was no statistically significant difference in the incidence of postoperative recurrence,metastasis rate,or case fatality rate between the two groups(P>0.05).Conclusions Compared with RH,EH has less trauma to patients with stage Ia cervical cancer,and it is more beneficial for postoperative recovery.

关 键 词：宫颈癌 Ⅰa期 筋膜外子宫切除术 广泛全子宫切除术 并发症 

分 类 号：R737.33[医药卫生—肿瘤]